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British Journal of Radiology (2005) 78, 158-160
© 2005 British Institute of Radiology
doi: 10.1259/bjr/33263789

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Visceral leishmaniasis: diagnosis by ultrasound-guided fine needle aspiration of an axillary node

M Reus, MD, PhD 1 B García, MD, PhD 2 V Vázquez, MD 1 D Morales, MD 1 M Fuster, MD 1 and J Sola, MD 3

Departments of 1 Radiology, 2 Internal Medicine and 3 Cytology, Hospital Universitario "Virgen de la Arrixaca", 30120 El Palmar (Murcia), Spain



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Figure 1. Contrast enhanced thoracic CT showing in the left axillary an enlarged lymph node (arrow).

 


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Figure 2. Contrast enhanced abdominal CT scan of the left upper quadrant demonstrated a wedge-shaped area of decreased attenuation in the surface of the spleen (arrow).

 


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Figure 3. Ultrasound-guided aspiration showing the tip of the needle (arrowhead) inside lymphatic nodule (arrow).

 


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Figure 4. Macrophages containing intracellular leishmanias (black arrow) found in the axyllare lymphadenopathy aspirate (haematoxylin-eosin x 400).

 





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