title: Lymphoma and Lactic Acidosis.
abstract: A 39-year-old man presented with new onset of sinus congestion, shortness of breath, and diaphoresis. His laboratory tests were notable for hypercalcemia and lactic acidosis. A CT scan of the head demonstrated mild paranasal disease. CT scan of the chest, abdomen, and pelvis demonstrated omental caking with lymphadenopathy and a thickened loop of bowel in the left upper quadrant suggestive of lymphoma. All abdominal lesions seen in the CT were intensely F-FDG avid with diffuse uptake in the bone marrow. There was markedly decreased F-FDG uptake in both the brain and liver. Histopathology was positive for Burkitt lymphoma.
authors.affiliation: From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN.
authors.forename: John W
authors.initials: JW
authors.lastname: McKay
authors.forename: Dominique
authors.initials: D
authors.lastname: Delbeke
authors.forename: Martin P
authors.initials: MP
authors.lastname: Sandler
mesh_terms: D000140:Acidosis, Lactic / Q000000981:diagnostic imaging*; D000328:Adult; D002051:Burkitt Lymphoma / Q000000981:diagnostic imaging*; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18