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Figure 16d.  Hodgkin disease in a 58-year-old man. (a) Lymphogram obtained during the nodal phase shows localized involvement of the abdominoaortic lymph nodes on both sides and of the right pelvic lymph nodes. The left pelvic lymph nodes are normal. (b) Staging abdominal CT scan, obtained with intravenous contrast material 24 hours after lymphography, shows small (short-axis diameter < 10 mm) paraaortic and paracaval lymph nodes at the L2-3 level. There was a favorable outcome at 3- and 6-month follow-up lymphography. (c) Follow-up lymphogram obtained at 12 months also shows a favorable outcome. (d) Lymphogram shows that the extent of radiation therapy is reduced to the initially involved field.