Complete history searching for B symptoms or other symptomatic problems suggesting more advanced disease Physical examination for lymphadenopathy or organomegaly Complete blood cell counts Serum creatinine, alkaline phosphatase, lactate dehydrogenase, bilirubin and protein electrophoresis (including albumin level) Chest radiograph, PA view only, with appropriate shielding Abdominal ultrasound for retroperitoneal lymphadenopathy7. Certain tests are only required for specific Hodgkin lymphoma presentations |