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

Physical Exam

07/11/XX

Matted and enlarged cervical nodes bilaterally.

   
Imaging

07/11/XX

CXR: No abnormalities.
07/31/XX PET scan showed increased activity in areas of neck nodes only
   
Endoscopy   Not done
   
Operation

07/11/XX

Excision of right cervical node mass
   
Pathology

07/11/XX

Cervical lymph nodes: Lymphocyte depletion Hodgkin lymphoma

07/30/XX Bone marrow aspiration biopsy: Hyperplasia; no tumor
   
Treatment 08/22/XX Radiation: Began beam radiation to cervical region. 3600 rads total

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