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78-year-old male with COPD x 9 months. Noted swelling in low cervical region for 3 months.
Matted and enlarged cervical nodes bilaterally.
CXR: No abnormalities.
PET scan showed increased activity in areas of neck nodes only
Excision of right cervical node mass
Cervical lymph nodes: Lymphocyte depletion Hodgkin lymphoma
Bone marrow aspiration biopsy: Hyperplasia; no tumor
Radiation: Began beam radiation to cervical region. 3600 rads total