Lymphadenopathy

PET???10219?????99/2/10?????99/2/11 Clinical History: A 81-year-old man had a explanation of left tonsillar cancer (diffuse lage B cell lymphoma) s/p R/T (98-11-9 to 12-14) and C/T. He is referred to evaluate the douse of the disease. Procedure: Following IV injection of 10 mCi FDG and a standard wasting disease period, the patient was imaged on Siemens HR+ dedicated PET scanner. Multiple bed position acquisitions were obtained from the speed thigh toward the head. The images were reconstructed with OSEM method and resliced into coronal, transaxial and sagittal projections. Findings: 1. thither is central increased FDG inhalation (max SUV= 9.38) in the right palatine tonsillar region. eternal rest tumoral inhalation should be suspected. 2. There is focal intense FDG uptake in the en heavy(p)d bilateral lateral neck lymph nodes (max SUV= 11.1 to 16.88), suggesting nodal metastases. 3. There is a large mass lesion (about 4.5 x 3.3 x 4.9cm) everywhere the left turn down neck to supraclavicular fossa, with very intense FDG uptake (max SUV= 25.3) and relative decreased FDG uptake in its central part. metastatic lymphadenopathy with central necrosis is suspected. 4. There is a patchy eminence with faint FDG uptake (max SUV= 1.73) in the posterior LUL.

Several littler ones without FDG uptake in bilateral lungs are also noted. zygomorphous pulmonary metastases should be suspected. 5. Mild focal increased FDG uptake in the left lower dental bed could be dentopathy. Conclusions: 1. Normal physiological FDG-PET study of the brain. 2. FDG-PET study of the whole dust shows possible residual tumoral uptake in the left tonsillar region. bilaterally symmetrical neck metastatic lymphadenopathy are also demonstrated, especially the large one with central necrosis over the left lower neck to SCF. Bilateral pulmonary metastases are suspected, too. 3. Clinical correlation and further evaluation are recommended. Reported By: Dr.?? If you insufficiency to get a full essay, order it on our website: Orderessay

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