Part II. Peripheral Manifestations of Hodgkin's Disease in the Chest

Abstract

Two hundred cases of Hodgkin's disease were examined where there were peripheral manifestations within the thoracic cage. It was concluded that there was no specific pattern with which to diagnose the condition on radiographs. Certain tentative conclusions have been drawn and outlined. Calcification only occurs after treatment. Fungus diseases are common secondary invaders and involvement of the skeleton by lymphadenoma is often missed until late in the disease process. A typical “wigwam” sign should suggest sternal and retrosternal disease and comment is made in regard to paramediastinal striation. Hodgkin's disease is the great deceiver in X-ray diagnosis and various examples are given to justify this statement.