GE Healthcare-Product Technology-PET/CT imaging helps in detecting small nodules


	Who we are

	Doctor Candela Bartolomeo Chief of the Nuclear Medicine Department Villa Santa Teresa, Medicina Nucleare San Gaetano, Bagheria (Palermo), Italy


	Patient History

	Female - 42 years old - 170 cm - 65 kg.
	Several imaging tests including mammography and ultrasound failed to identify the primary tumor.

Acquisition

Scanner: GE Discovery ST

PET acquisition: Whole-body acquisition

–	3D acquisition using VUE Point HD reconstruction – 256 x 256 matrix
–	Acquisition time: 3 min/bed
–	Post-injection time: 50 min
–	Dose: 319 MBq of ¹⁸F-FDG

CT acquisition: CT Attenuation Correction

Findings

Whole-body static image – Highlight of hypermetabolic lesions in the left breast

CT and fused coronal views of the breast hypermetabolic lesion

CT and fused axial views of a small hypermetabolic internal mammary node

Multiple hypermetabolic uptakes of ¹⁸F-FDG in the right and left axillar nodes, right cervical nodes and internal mammary nodes involvment.

Single area of hypermetabolic uptake of ¹⁸F-FDG in the inner lower lateral left breast.


	Conclusion

	Patient with palpable lymph nodes in the left and right axilla. ¹⁸F-FDG PET identified a hypermetabolic lesion in the breast.