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If you must use a vial beyond 28 days, assume reduced potency and expect diminished outcomes, but the more reliable approach is to reconstitute smaller vials more frequently

doi: 10.4103/0974-2077.112664

A CT scan of the abdomen and pelvis with intravenous contrast demonstrated conglomerates of cardiophrenic, retroperitoneal, bilateral iliac chain, and bilateral inguinal lymph nodes, with the largest node being in the left iliac chain and measuring 7.4 cm