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lüll Abdominal CT in acquired immunodeficiency syndrome Jeffrey RB Jr; Nyberg DA; Bottles K; Abrams DI; Federle MP; Wall SD; Wing VW; Laing FCAJR Am J Roentgenol 1986[Jan]; 146 (1): 7-13Acquired immunodeficiency syndrome (AIDS) is a lethal infectious disease that has reached epidemic proportions in urban centers of the United States. Intraabdominal opportunistic infections and malignancies are common features of this syndrome. A prodromal phase or possibly milder form of infection is known as the AIDS-related complex. Abdominal computed tomography (CT) in patients with AIDS-related complex often demonstrates a triad of mild retroperitoneal and mesenteric adenopathy, splenomegaly, and perirectal inflammation. Lymph node enlargement greater than 1.5 cm is unusual in the AIDS-related complex and should prompt CT-guided biopsy. Abdominal adenopathy (greater than 1.5 cm) in AIDS, in our experience, is most commonly related to non-Hodgkin lymphoma, Kaposi sarcoma, or infection with Mycobacterium avium-intracellulare. In most instances, CT-guided biopsy with appropriate staining technique can readily distinguish these entities. However, the subtyping of non-Hodgkin lymphoma by fine-needle aspiration biopsy alone remains controversial. Unusual features of abdominal malignancies are common in AIDS. These include a purely lymphadenopathic form of AIDS-related Kaposi sarcoma and a predilection for extranodal sites of lymphoma in AIDS. In general, patients with AIDS-related lymphoma present with advanced stages of disease with highly malignant histologic subtypes. Abdominal CT may be useful clinically for diagnosing intraabdominal complications of AIDS.|*Radiography, Abdominal[MESH]|*Tomography, X-Ray Computed[MESH]|Abdominal Neoplasms/*diagnostic imaging/etiology[MESH]|Acquired Immunodeficiency Syndrome/complications/*diagnostic imaging[MESH]|Gastrointestinal Diseases/diagnostic imaging/etiology[MESH]|Humans[MESH]|Infections/diagnostic imaging/etiology[MESH]|Lymphatic Diseases/diagnostic imaging/etiology[MESH]|Lymphoma/*diagnostic imaging/etiology[MESH]|Sarcoma, Kaposi/*diagnostic imaging/etiology[MESH] |