Crowe J E
Am J Dis Child. 1975 Jan;129(1):116-7. doi: 10.1001/archpedi.1975.02120380086020.
Hodgkin disease can involve diaphragmatic lymph nodes adjacent to the heart. When nodes at the cardiac apex are involved, the roentgenographic appearance simulates that of the normal pericardial fat pad. Though, to our knowledge, no cases have been reported in which this was the only intrathoracic manifestation of Hodgkin disease at the time the patient was first seen and the condition was diagnosed, it may be the only manifestation of relapse, as was true in the case presented.
霍奇金病可累及心脏旁的膈淋巴结。当心尖部淋巴结受累时,X线表现类似正常的心包脂肪垫。据我们所知,尚无病例报道在患者初诊并诊断疾病时,这是霍奇金病唯一的胸内表现,但它可能是复发的唯一表现,本文所报告的病例即是如此。