Hodgkin's lymphoma as a multiloculated lung cavity lesion

Background: Pulmonary manifestation of Hodgkin's lymphoma is common, and recently, single and/or multiple lung cavities with air-fluid levels has been reported as a primary manifestation of Hodgkin's lymphoma. However, the unusual presentation of the lung cavity itself has not been previously reported for Hodgkin's lymphoma, especially as the first presentation of the disease

Case Presentation: We report a 16-year-old male who presented to the emergency department with chief complaints of fever, unintentional 10-kilogram weight loss, a productive cough and pulmonary cavity for investigation, The patient's CT scan indicated rtiloculated cavity lesions in the middle lobe with an air-fluid level and multiple enlarged mediastinal lymph nodes, which have not been previously reported as a primary presentation for Hodgkin's lymphoma or in the histopathology of the nodular sclerosing type of classical Hodgkin's lymphoma

Conclusion: Pulmonary manifestation of Hodgkin's lymphoma has already been reported and must be part of the differential diagnosis of lung cavity lesions, even if the likelihood is low based on previous reports, especially in younger individuals. Multiloculated lung cavities can be the first presentation of Hodgkin's lymphoma

Uterine and tubal abnormalities in infertile Saudi Arabian women: a teaching hospital experience

Background and Objective: hysterosalpingography [HSG] is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG

Patients and Methods: a retrospective analysis was conducted of subfertile and infertile patients who had undergone HSG between June 2007 and May 2012. Patients' demographic data were collected from the medical records of the King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The data included age, years of marriage, menstrual history either regular or irregular, primary/secondary infertility, hormonal profile, previous infection or pelvic surgery, and diagnostic laparoscopy. Radiographic reports of HSG were collected from the IPAC system and analyzed for fimbrial findings, tubal patency, and cervical and uterine cavitary pathology. The data were entered in the database and analyzed using a t?test to compare means between the age, type of infertility, different pathologies and for all the parameters assessed. All tests were performed using Statistical Package for the Social Sciences, version 14.0, Chicago, Illinois, USA. A P < 0.05 was considered statistically significant with a confidence interval of 95%

Results: data from the medical records of 117 patients with an average age of 32.59 +/- 5.48 years were analyzed. Of this total, 48 [41%] had been diagnosed as having primary infertility. In 95 [81.2%] patients, there was an abnormality in the fallopian tubes and in 27 [23%] patients, there was an abnormality in the uterus. Patients with primary infertility were significantly younger [29.7 +/- 5.6 vs. 34.58 +/- 4.75; P < 0.001], and tubal and uterine pathology was more common [P < 0.08 and 0.01]

Conclusions: our review indicates that the most common pathology found through HSG in women presenting with infertility is tubal blockage