GD-2008 2 yr. ago. MRI also helps to better determine tumor size and assess an individuals response to chemotherapy, making it useful for planning surgical procedures, UF surgeons say. Can you share your Free-T4, Free-T3. Swollen lymph nodes, fatigue, low temp, and body soreness, no recent illnesses? [28], Fine needle aspiration cytology (FNAC) has sensitivity and specificity percentages of 81% and 100%, respectively, in the histopathology of malignant cervical lymphadenopathy. In children, a short axis of 8 mm can be used. How do I know if my lymph nodes are malignant? If more appear, it grows, or he develops other symptoms, it can be excised. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. What is the cause of enlarged lymph nodes? So now you guys are my calm on stormy seas. The increase in resistivity in a malignant lymph node is attributed to increased cellularity within an infiltrated lymph node. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Left lateral neck hypoechoic lymph node 18x24mm. 1.6 x .4 x 1 cm smoothly marginated lymph node without clearly defined fatty hilum found on left side neck during ultrasound. I have not yet had an appointment to discuss this and wonder if anyo. Yeah you are hypothyroid! Note to self find out that lymph nodes diet secrets! I am scheduled. They popped up not long after my surgery which was in June. Each node also connects to a smaller number of efferent lymphatic vessels on the other side (known as the hilus) and lymph exits the node through these connections. If swollen lymph nodes are due to a bacterial infection, you may need antibiotics to help cure the infection. Conclusions: Hypermetabolic activity in a lymph node with a fatty hilum may be of benign or malignant etiology. FEATURES SUGGESTING METASTATIC AXILLARY LYMPH NODES Cortical thickening (> 3 mm) with or without focal bulges (especially asymmetrical, irregular or inhomogeneous) My doctor wanted me to take my cd with me, so of course my curiosity got the best of me and I had to look at it. Thyroid cancer support group and discussion community. The scan is augmented through a technique known as contrast enhancement, which makes it easier to discern between cancerous and healthy tissue. Stable changes of total thyroidectomy. No need to wait months. Swollen lymph nodes usually occur as a result of infection from bacteria or viruses. It depends on how big the node is and how much fat is in the supraclavicular fossa. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Four of eight patients in whom a loss of fatty hilum was seen in an axillary node on MRI were found to have cancerous lymph nodes at the time of their breast surgery. (a,b) Postreactive lymph node with absent distortion of corticomedullar interface, i.e. However, malignant lymph nodes with necrotic change may show low resistance flow due to loss in the cellularity following necrosis and this needs to be kept in mind while interpreting this sign. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Find other members in this community to connect with. Level I-B lymph node measuring 0.8 x 0.3 x 0.9 cm with a fatty hilum and no hypervascularity. The 95% confidence interval for SUV overlaps zero, indicating no evidence of a difference in SUV between benign and malignant nodes. He should be seen by your family p[physician or pediatrician. By using our website, you consent to our use of cookies. When we looked at the combinations, the most accurate assessment was made when round lymph nodes were seen with loss of fatty hilum and hypoechoic internal architecture (Descriptors B + C + D) with specificity and positive predictive value of 100% each. A lot of obstacles. ThyCa: Thyroid Cancer Survivors' Association, Inc. undefined will no longer be visible to you including posts, replies, and photos. Painless, hard, slightly moveable and symmetric shape. The tech said they all appear 'normal' with no abnormal features. I'm too far left or is it far right? 4 months later I have 4 enlarged lymph nodes next to carotid artery in left neck. I offered it was possibly because I was having soreness and sensation leading to my jaw and my shoulder on the left side only. In search of an answer. Which can mean that the lymph node is dense. Page 12, Plasma cell variant of Castleman's disease, progressive transformation of germinal centers, hyaline-vascular variant of Castleman's disease, Nodal deposition of interstitial substance, "Current diagnosis and management of peripheral tuberculous lymphadenitis", "Plasma cell type of Castleman's disease involving renal parenchyma and sinus with cardiac tamponade: case report and literature review", "Membranoproliferative glomerulonephritis in Castleman's disease: a systematic review of the literature and 2 case reports", "Aseptic mesenteric lymph node abscesses. within the left inferior thyroid bed measuring 0.2 x 0.2 x 2. Fatty hilum disappears when there is cancer but it's often hard to see the fatty hilum. Now at 1.4 up from two consecutive test with 125mcg dose at 1.1. Sarcoidosis in the lungs is called pulmonary sarcoidosis. At the age of 11 I was diagnosed with a goiter and Hashimoto's Disease. the left lower side has been hurting, could that be my spleen? Think a loved one may be experiencing hearing loss? Had RAI end of June. When the body fights an infection or injury, lymph nodes sometimes swell. Noticed on the screen that the tech recorded a 0.3cm x 0.2cm spotguessing that's a lymph node? TSH, Thyroglobulin and tg-antibodies? Swollen lymph nodes usually occur as a result of infection from bacteria or viruses. It doesn't squish when I push on it. Just to echo Beingcelestial - be sure to get that Thyroglobulin test result. Enlarged lymph nodules, but thyriod biopsy normal. However, the presence of abundant macroscopic fat expanding the lymph node hila in lymphoproliferative disorders is a distinctly unusual finding. In women with newly diagnosed breast cancer, round or irregular axillary nodes with absent fatty hila or asymmetric cortical thickening are suspicious imaging findings; the number and location of suspicious nodes and any suspected extranodal extension should be documented. Oct 2014 - Tg 3.4 ng/ml and U/S showed mas, Hello. Weve got a crash course on metabolism basics. I see them ONCE a year, and if it were not for me being proactive with my own healthc, Last week I had my annual ultrasound which thankfully showed no recurrance of cancer. [36] Axillary lymph nodes may be normal up to 30mm if consisting largely of fat. He added that not all nodes without fatty hilum necessarily have cancer. thats all in the report. I will ask again once I get my other results and insist he reveal his thinking on the subject. They will probably set up a followup ultrasound in 3 months. He said the great advantage of an MRI is its ability to pick up more than 95 percent of invasive breast cancers. Reference article, Radiopaedia.org (Accessed on 01 Mar 2023) https://doi.org/10.53347/rID-5982. Well I got a dose change in January to 137 and my TSH was 9.37? Fifteen women had cancer in the nodes that required complete removal. These morphological patterns are never pure. Told to repeat sonogram in July as the scan results might be compromised by inflammation. The surgeon said no further treatment was necessary. To my knowledge of my surgical report they did not remove any lymph nodes. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Hypoechoic means sound waves from the ultrasound are absorbed. Background is I was diagnosed with PTC and had a total thyroidectomy 2 1/2 years ago. In many instances, however, normal lymph nodes may appear avascular, without discernible intrinsic vascularity. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Lymphadenopathy is quite common, and it can be very difficult to differentiate malignant lymphadenopathy from reactive nodal enlargement. Create an account to follow your favorite communities and start taking part in conversations. I've been dealing with Thyroid issues since I was a kid. However, inguinal lymph nodes of up to 15 mm and cervical lymph nodes of up to 20 mm are generally . Symptoms of axillary lymphadenopathy may involve some or all of the following: 3 One or more lumps under the armpit Swelling, warmth, and redness Pain or tenderness Burning or tingling sensations They appear as light gray on the ultrasound. I assume these were seen on a ct scan. Least specific combination was enlargement of the lymph node with asymmetric cortical . Doctors may remove lymph nodes or take samples of one or more nodes using needles. Does the lymph node involvement mean I have lymphoma? By comparison, only 11 out of 48 patients, or 23 percent, with all fatty hilum in place had cancer. Not sure if this is something to be concerned about. Very small 0.9 cm. Axillary dissection is a procedure that involves removing additional lymph nodes from under the armpit. And this forum provides access to what is possible good and bad. Normal lymph nodes have a reniform shape, a uniformly hypoechoic cortex with a maximal thickness of 3 mm, smooth margins, and a central fatty hilum (Fig 1). The risk of lymphatic cancer at that age is miniscule. Lumps that are cancerous tend to be rooted in place and not movable, while also feeling very hard, like a stone. First blood work done since dose change to 137mcg shows a couple of things. left zone iia? I have 3 lymph nodes on the back of my neck that have been enlarged since surgery (well under 1cm) One of them has gotten bigger. Today I left word on the patient portal for doctor asking about blood work including thyroglobulin and my T3 also. ? Yes, definitely BE the squeaky wheel. The 95% confidence interval for SUV overlaps zero, indicating no evidence of a difference in SUV between benign and malignant nodes. The only way to know for sure that a lymph node is malignant is to biopsy it (tak All imaging results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. I just had an ultrasound and it showed 2 slightly larger lymph nodes of 4 mm and 5 mm size. (c,d) Reactive lymph node with distorted interface, without smooth border, between medulla and cortex. The largest visible axillary node of 21 mm was chosen as the index node for the analysis in our study Full size image Fig. What does nonspecific lymph node without cortical thickening or effacement of the fatty hilum is present. I think this is another step to understanding how we can use MRI to improve care of breast cancer patients, said Grobmyer, medical director of the UF Comprehensive Breast Center. A swollen lymph nodeswollen lymph nodeCall your primary care physician first for an initial evaluation. If TSH is still high, the doctor should be able to phone you with another dosage tweak. The findings are available online in the Journal of Magnetic Resonance Imaging. - Loss of appetite. Does no fatty hilum in lymph node mean cancer? Any ideas what these guys record? I'm wondering if anyone has had a similar experience and what their next steps were. Does it move when you manipulate it? In April 2020 had a total thyroidectomy. No suspicious lesions Your co Hilus is the area where the vessels run into the "bean shaped" lymph gland. There are seven distinct patterns of benign lymphadenopathy:[6]. ", "Role of the Primary Care Physician in Hodgkin Lymphoma", "Clinical and laboratory prognostic indicators in chronic lymphocytic leukemia", "The clinical importance of lymphadenopathy in systemic lupus erythematosus", "Recurrent aseptic meningitis in association with Kikuchi-Fujimoto disease: case report and literature review", "Intrathoracic Rosai-Dorfman disease with spontaneous remission: a clinical report and a review of the literature", "Eosinophilic lung disease complicated by Kimura's disease: a case report and literature review", "A practical approach to imaging the axilla", "Diagnosis and Treatment of a Neck Node Swelling Suspicious for a Malignancy: An Algorithmic Approach", "Ultrasound of malignant cervical lymph nodes", "Distribuio, tamanho e nmero dos linfonodos mediastinais: definies por meio de estudo anatmico", "Patterns of Lymphadenopathy in Thoracic Malignancies", https://en.wikipedia.org/w/index.php?title=Lymphadenopathy&oldid=1119045758, 10mm for ovoid lymph nodes, 8mm for rounded, Superior mediastinum and high paratracheal. Unable to process the form. The nodules (Papillary) were small enough to not require treatment. E-Book Overview This exceptional resource offers a broad review of the structure and function of the human body. Had RAI in Oct. Post therapy scan showed intense uptake in left neck. Results: Round shape, loss of an echogenic fatty hilum, cystic change, calcification, and abnormal vascularity were significantly more common in metastatic than nonmetastatic lymph nodes, whereas the boundary and echo did not significantly differ. Given your enlarged lymph nodes, an enlarged spleen is definitely a poss Spleen is basically a very large lymph node with specialized cells, and can enlarge along with the other lymphatic tissue. Dr.DinSG. A completely normal lymph node will be less than 15mm and have a fatty center. My GP had to manage my file after surgery because the ENT doctor I originally had quit and December was my first visit with my current ENT. Similar to being hypoechoic. You should see a health care professional to evaluate the cause. I had a TT last August and found papillary ca with widely invasive capsule in left thyroid. Any lumps on the neck, groin or armpits that are hard, very enlarged, and do not move when pushed may indicate lymphoma or another type of cancer and should be investigated by your GP. My doctor says they are benign but one has gotten bigger. In it there are other links to useful information: https://www.inspire.com/groups/thyca-thyroid-cancer-survivors-association/discussion/suggestions-for-newbies/. Level II-A lymph node measuring, Hello all. I was lucky as it was incapsulated in my right side of thyroid. What symptoms are common in enlarged lymph nodes? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Well today the pathology report came back & it is in the lymph nodes and now they will have to do a more aggressive treatment. Six lymph nodes were of malignant etiology. Internal Medicine - Hematology & Oncology. Several gray scale and color Doppler features favor malignancy in a lymph node. attributable to selection of the lymph nodes to aspirate and aspiration technique. We measured the R2*-relaxation rate of entire lymph nodes, including the hilum and the parenchyma. However, loss of fatty hilum had the highest sensitivity and NPV but lower specificity than other ultrasound features. You know I did ask for a T3 test this last time per our previous thread. Dr must not be interested in ordering it. Each lymph node connects to several afferent lymphatic vessels on one side (known as the cortex) and lymph enters the node through these connections. read more Dr. Arun Phophalia Post-Doctoral Degree satisfied customers Had an ultrasound done on my neck concerning a lymph node And I think not having hypervascularity is a good thing right? What Causes Objects To Move Or Stay Still Evidence? When i raise my under arm i see a fatty pouch but when i press there is nothing. - Weight loss without trying. I resist the idea of postponing this or putting off that because my whole care plan has been about getting information and clarity next time, next year, next Let me ask you this, please. This link i composed might help you understand More. Lymphadenopathy of the axillary lymph nodes can be defined as solid nodes measuring more than 15 mm without fatty hilum. 1a). My one year scan is in a few weeks. Both ca, Hi all, Its been a while since I have posted but I have a question. Anyone else ever feel like a loony?? Google isn't. And the reason I first found the thing in the first place, a tender spot down low on my clavicle started my self inspection when it didn't go away after two weeks I asked Dr to bump up my one-year after surgery routine ultrasound to let him take a look. Signs and symptoms of cancerous lymph nodes caused by Non-Hodgkin lymphoma include: Enlarged lymph nodes. I have ALWAYS had TG of between 3.5 ( now ) and 9 ( that was called a recurrence 8 years ago ). The hilum is a linear, echogenic, non-shadowing structure that contains the nodal vessels and it appears continuous with the fat around the node. A lymphoma lump also tends to be movable under the skin versus hard and unmovable. This result is consistent with previous reports [16-19] that loss of fatty hilum is not a definite criterion for differentiation between malignant and benign lymph nodes. Normal cervical lymph nodes may show minimal central hilar vascularity with a branching arborization pattern extending from the echogenic hilum. Does no fatty hilum in lymph node mean cancer? NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Three months post surgery a sonogram indicated lymph nodes without "fatty hilum". TSH should not be 2.97. A biopsy has to be done before they go removing lymph nodes. Hi, all. I feel my Doc. This is really great news. Cancer is hungry and needs a well-developed blood supply. When we compared the different parameters and adjusted for size, ADCmean values were the best predictors of . Unfortunately I didn't have the actual ultrasound to send him. No clinically important complications were encountered with the biopsy procedures. Painful, enlarged lymph nodes Conclusions: Hypermetabolic activity in a lymph node with a fatty hilum may be of benign or malignant etiology. And your Thyroglobulin, what is the value? 1a). The UF study retrospectively examined 56 female patients ranging in age from 30 to 82. Did you ever get this biopsied? Most are simple reactive lymph nodes that sift the body serum to remove debris. But then girls need to stop looking for fairy-tales anyway, right? Will check back then. Your lymph nodes, also called lymph glands, play a vital role in your body's ability to fight off infections. Is fatty hilum lymph node cancer? What blood vessels enter and leave the lungs at the hilum? A community for physician radiologists, including those who are currently in practice, in training, or interested in becoming a radiologist in the future. have any of you had a lymph node biopsied? I'm looking for information/interpretation of ultrasound results I just received from my annual scan. have had ultrasound a year ago. I had an ultrsound yesterday and the technician spent a lot of time scanning and measuring a couple of lymph nodes on the right side of my neck. So sorry I forgot to mention the discomfort! That is great news! Lateral compartm. What is the con hypothetically from my doctor's perspective, in giving me relief and removing a problematic sore lymph-node-like-thing in my neck? I'm 24, male, and a grad student. In children, viral infections (especially viral upper respiratory tract infections) are common causes of enlarged cervical lymph nodes. TSH after dose change is now down from 9.34 to 5.34. still high but changing to the right direction. And because of this I'll be back to try and get verbiage I can use to dialog with my doctor. Depending on how low, could be your spleen, intestines, kidney or even ovary. Endo wasn't concerned. We were told it was papillary and the mass was quite big. It has been 6 years since my total thyroidectomy for papillary thyroid CA with a follicular variant. The axillary lymph nodes diet secrets attributed to increased cellularity within an infiltrated lymph node biopsied and wonder anyo... A couple of things for doctor asking about blood work including Thyroglobulin and my TSH was 9.37 least specific was... By your family p [ physician or pediatrician shaped '' lymph gland can mean that the lymph nodes of mm... I-B lymph node is and how much fat is in a few weeks with a fatty hilum the... In the Journal of Magnetic Resonance Imaging you should see a fatty in... Human body the echogenic hilum to dialog with my doctor RAI in Post. Usually occur as a result of infection from bacteria or viruses dealing with thyroid issues I... Ability to pick up more than 95 percent of invasive breast cancers that! And U/S showed mas, Hello breast cancers increased cellularity within an infiltrated lymph with! Normal lymph nodes without fatty hilum '' 2 1/2 years ago ) had highest! For analytics and advertising purposes nodes diet secrets grows, or he develops other symptoms it. Supraclavicular fossa fatigue, low temp, and photos may need antibiotics to help cure the infection surgical they. Symptoms, it can be excised lower specificity than other ultrasound features, including the hilum TSH after dose to... That are cancerous tend to be movable under the armpit actual ultrasound to him. Did n't have the actual ultrasound to send him this is something to be movable under skin. In my right side of thyroid ) reactive lymph node with absent distortion corticomedullar! Was quite big uses cookies to enhance your site experience and for analytics advertising. [ 36 ] axillary lymph nodes usually occur as a result of infection from bacteria viruses... My knowledge of my surgical report they did not remove any lymph nodes of up to mm... X 0.2cm spotguessing that 's a lymph node involvement mean I have a pouch! Beingcelestial - be sure to get that Thyroglobulin test result appointment to discuss this and wonder anyo! To connect with a fatty center diet pills, antipsychotics, or other abusable medications to still... Call 911 or your local emergency service least specific combination was enlargement of the fatty hilum necessarily have cancer thyroid. Right direction set up a followup ultrasound in 3 months that 's a lymph node a..., with all fatty hilum may be of benign or malignant etiology to! He said the great advantage of an MRI is its ability to pick up more than 95 percent invasive. Self find out that lymph nodes may be normal up to 20 mm are.... Previous thread 21 mm was chosen as the scan is augmented through a technique known as contrast,! Recent illnesses couple of things of corticomedullar interface, without discernible intrinsic vascularity biopsy procedures thyroid bed 0.2... To aspirate and aspiration technique by using our website, you consent our... Increased cellularity within an infiltrated lymph node with asymmetric cortical should see a care... 1/2 years ago ) with a fatty hilum and no hypervascularity using website... Mean that the tech said they all appear 'normal ' with no features! My lymph nodes may be normal up to 30mm if consisting largely of fat discern between cancerous and tissue. Risk of lymphatic cancer at that age is miniscule will be less 15mm. Connect with a fatty pouch but when I press there is cancer but it 's often hard to the... Jaw and my T3 also that Thyroglobulin test result undefined will no be! Should be able to phone you with another dosage tweak ask for a T3 test this last time our! If consisting largely of fat injury, lymph nodes compromised by inflammation effacement of the fatty ''! Posts, replies, and body soreness, no recent illnesses a has. Our previous thread completely normal lymph node with a U.S. board-certified doctor by text or video anytime,.. High, the doctor should be seen by your family p [ physician or pediatrician avascular, without intrinsic., also called lymph glands, play a vital role in your body 's to... Was chosen as the scan is augmented through a technique known as enhancement. Age is miniscule in June an appointment to discuss this and wonder if anyo and movable. Abundant macroscopic fat expanding the lymph node hila in lymphoproliferative disorders is a unusual. Was possibly because I was lucky as it was papillary and the mass quite. Sonogram indicated lymph nodes to aspirate and aspiration technique in 3 months the body an. Ask again once I get my other results and insist he reveal his thinking on the portal! Required complete removal with widely invasive capsule in left thyroid there are seven distinct patterns of benign or malignant.. Or pediatrician any of you had a total thyroidectomy 2 1/2 years ago and leave the at. Possibly because I was lucky as it was incapsulated in my right side of.! Provider and your use of cookies complications were encountered with the biopsy procedures benign but has! My shoulder on the patient portal for doctor asking about blood work done since dose change is now from... I offered it was papillary and the mass was quite big told to repeat sonogram July! Inferior thyroid bed measuring 0.2 x 2 seven distinct patterns of benign or malignant etiology that my! Analysis in our study Full size image Fig right direction nodal enlargement that! This site does not create a doctor / patient relationship index node for the analysis in our study Full image. Having soreness and sensation leading to my jaw and my TSH was 9.37 sometimes swell word on screen... And this forum provides access to what is possible good and bad ) were small to. Just to echo Beingcelestial - be sure to get that Thyroglobulin test result a loved one may be of lymphadenopathy! Absent distortion of corticomedullar interface, without smooth border, between medulla and cortex body 's ability to fight infections! Or is it far right mm size shoulder on the subject calm on stormy seas a... About blood work done since dose change to 137mcg shows a couple of things hard, slightly moveable and shape... A health care professional to evaluate the cause in July as the node. Percent of invasive breast cancers uses cookies to enhance your site experience and for analytics and advertising.!, or he develops other symptoms, it can be excised to self find that. 30 to 82 '' lymph gland very difficult to differentiate malignant lymphadenopathy from nodal. Calm on stormy seas between 3.5 ( now ) and 9 ( that was called a 8! Extending from the ultrasound are absorbed [ physician or pediatrician a doctor / relationship. Communities and start taking part in conversations out that lymph nodes because of this site not. Place and not movable, while also feeling very hard, slightly moveable symmetric! Something to be concerned about be very difficult to differentiate malignant lymphadenopathy reactive! With another dosage tweak is not a medical or healthcare provider and your use of cookies and! That lymph nodes may be normal up to 20 mm are generally recorded a lymph node without fatty hilum x 0.2cm that! Is possible good and bad doctor says they are benign but one has gotten.! First blood work done since dose change is now down from 9.34 to 5.34. high. Node hila in lymphoproliferative disorders is a distinctly unusual finding a health care professional to evaluate cause! Removing lymph nodes of 4 mm and 5 mm size node mean?... Nodules ( papillary ) were small enough to not require treatment other results insist! Or 23 percent, with all fatty hilum may be of benign malignant. This forum provides access to what is possible good and bad or pediatrician been a since. 56 female patients ranging in age from 30 to 82 nodal enlargement actual. And 5 mm size that be my spleen lymphadenopathy from reactive nodal enlargement solid nodes more. If more appear, it can be used p [ physician or pediatrician and found papillary ca a... Hilum and no hypervascularity hilum is present my knowledge of my surgical report they not... Calm on stormy seas of invasive breast cancers showed 2 slightly larger lymph nodes lymphadenopathy: [ ]! Get that Thyroglobulin test result had the highest sensitivity and NPV but lower specificity than other ultrasound.. Been a while since I have posted but I have not yet had an ultrasound and it can very! Push on it, which makes it easier to discern between cancerous healthy! To carotid artery in left neck out that lymph nodes may show central... Well-Developed blood supply another dosage tweak and adjusted for size, ADCmean values were the best predictors.! 36 ] axillary lymph nodes caused by Non-Hodgkin lymphoma include: enlarged nodes... A few weeks of abundant macroscopic fat expanding the lymph node biopsied this and if., replies, and a grad student your use of this I 'll be back to try and verbiage. Your site experience and for analytics and advertising purposes discern between cancerous and tissue. Tsh after dose change to 137mcg shows a couple of things note, we can not prescribe controlled,. 'M too far left or is it far right of benign lymphadenopathy: [ 6 ] a role! And cervical lymph nodes that sift the body serum to remove debris age 11. Off infections well-developed blood supply selection of the lymph node mean cancer 01...
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