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Case #2

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78-year-old male with COPD x 9 months. Noted swelling in low cervical region for 3 months.

Expand Physical Exam

07/11/XX

Matted and enlarged cervical nodes bilaterally.

Expand Imaging

07/11/XX

CXR: No abnormalities.

07/31/XX

PET scan showed increased activity in areas of neck nodes only

Expand Endoscopy

Not done

Expand Operation

07/11/XX

Excision of right cervical node mass

Expand Pathology

07/11/XX

Cervical lymph nodes: Lymphocyte depletion Hodgkin lymphoma

07/30/XX

Bone marrow aspiration biopsy: Hyperplasia; no tumor

Expand Treatment

08/22/XX

Radiation: Began beam radiation to cervical region. 3600 rads total