Radiology Rounds
Round # 13
The patient is 30 y.o. woman who presents to her primary physician complaining of weight loss, fatigue, abdominal enlargement, gum bleeding, and episodic bone pain, particularly in her legs. She also describes an episodic migratory polyarthritis affecting her hands, feet, and knees that has become increasingly severe over the last few months. She now has increased pain in her knees while standing. Physical examination reveals a protuberant abdomen with marked hepatosplenomegaly; articular examination is unremarkable. Laboratory evaluation reveals a HCT of 29 and a platelet count of 40,000. Suspecting leukemia, a bone marrow biopsy was promptly performed, which revealed infiltration of enlarged lipid-laden histiocytes. Plain radiographs of the legs were obtained, and a diagnostic test was ordered.
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