Venous compression caused by infiltrating lympn nodes (series of images/videos)

Case report

39-year-old male patient presented with unexplained resting dyspnea and a large pleural effusion. Computed tomography revealed a suspicion of a lymphoma in the anterior superior mediastinum as well as cervical lymphadenopathy. Due to the onset of superior vena cava compression syndrome, an urgent, ultrasound-guided puncture of a right cervical lymph node was performed. The lymph node appeared hypoechoic and enlarged (9 × 3 cm), with peripheral vascularization on color Doppler. Histopathology revealed a blastic lymphoid neoplasm, consistent with a T-cell non-Hodgkin lymphoma (T-NHL). Appropriate therapy was initiated.