A firm mass of matted nodes may become apparent with disease progression, and if untreated, lymphadenopathy can become fluctuant with draining fistulas.

Figure 1: Axial CT enterographic image demonstrating enlarged mesenteric lymph nodes (green arrowheads) abnormal mesenteric nodes with low central attenuation (blue arrows).

Results Among the 53 patients with secondary hyperparathyroidism , there were 39 cases of parathyroidal hyperplasia, 31 cases of nodosity thyroncus, 32 cases of lymphadenectasis.