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Patient History:
Male patient diagnosed with primary NSC Lung Cancer following CXR and CT;
RLL lung nodule with extension into pleural space and hilar region.
Imaging Procedure:
Patient fasted for six hours and was injected with 11.7 millicuries F-18
FDG. One and one half hours following injection, CODE attenuation correction
images acquired using Hawkeye CT.
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Findings:
There was a large amount of metabolic uptake in the right infrahilar region
extending into the right lower lobe at the precarinal space and the right
paratracheal space. |
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Findings:
There is increased activity in the left posterior ribs above the level of
the carnia most likely consistent with metastatic disease. |
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Findings:
There are multiple areas of increased metabolic activity within the liver
which is suspicious for metastatic disease. There are multiple diffuse areas
of the T and L spine also consistent with metastatic disease. There is a focus
of increased metabolic activity representing a right mesenteric lymph node.
Increased activity was also present in the left iliac bone consistent with
metastatic disease. Impressions:
Large right infrahilar to right lower lobe precarinal and right paratracheal
focus of increased activity consistent with the patient???s know disease.
Multiple dessimated areas throughout the ribs, liver, T and L spine, mesenteric
nodes and pelvic consistent with metastatic disease.
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Results:
Hawkeye CODE FDG imaging accurately localizes areas of FDG accumulation, suggestive
of metastasis. The staging and treatment plan were modified accordingly.
Images courtesy of:
VA Medical Center
Baltimore, MD.
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