Fig. 3

55-year-old woman with CLL treated with rituximab with pain abdomen and fatigue. a Coronal reconstructed contrast enhanced CT image of the abdomen and pelvis acquired 4 months before developing new symptoms reveals perihepatic implant with no focal liver or splenic lesions. b Coronal reconstructed images of the abdomen and pelvis reveal new focal hypodense lesions in the liver and the spleen with increase in the perihepatic implant and new pulmonary masses. Liver lesion was biopsied and histologic evaluation showed transformation into diffuse large B cell lymphoma