A child 17 years old came for the screening. At abdominal ultrasound in mesogaster visualized more than 3 lymph nodes upto 8 mm, two of them with hyperechoic lesions (Calcific mesenteric lymphadenopathy, diff.diagnosis: tuberculosis(tbs), metastases(mts), sarcoidosis, amyloidosis, etc.) Part of the abdominal cavity is shielded. The wall of the stomach is thickened upto 4 mm (gastritis?). I asked her whether she sick some severe infections, she said that had a long time ago acute tonsillitis. Recommended consultation of infectionists, gastroenterologist. PS. Examples from a colleague's website: "Papillary thyroid carcinoma with lymphe node metastases with punctate calcifications..." external link "...lymph node with calcifications caused by an atypical mycobacterium" external link Diff.diagnosis: external link external link |