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Isotopiclaboratory,TheFirstHospitalofChinaMedicalUniversity
PET/CTCHECKREPORT
PET/CTCHECKNo.:P000000Reg.No.:00000000Checkdate:Mar.27,2019
NAME:
Gender:female
Age:54
Imagingagent:18F-FDG
Activity：6.00mCi
Acquisitionmethod:faultacquisition3D
Inspectpart:body
Layerthickness：3.00mm
Attenuationcorrection:√
ClinicalDiagnosis:leftlungmass
Examinationmethod:
Maintainanemptybellyforover4h;PET/CTbodytomographywasperformedafterintravenousinjectionofimagingagent,andthePETimagewasfusedwiththeCTimageafterattenuationcorrectionandselectivegenerationreconstruction,andtheimagewasclear.
CTshowedasmalllow-densityshadowontheleftbasalganglia,andtherewasnoabnormalityinFDGuptake;theFDGuptakeanddistributionintheremainingbrainwerenormal.PETshowedmultipleFDGuptakeinthebilateralneck,clavicleandparaspinal.ThemaximumSUVwas4.7,andthecorrespondingpartshowedCTfat;thesofttissuestructure,morphologyandFDGuptakeanddistributionoftheresidualmaxillofacialregionandneckwerenormal.
PETshowedincreasedFDGuptakeintheupperlobeoftheleftlungnearthehilarmass,andthemaximumSUVwas12.9.CTshowedsofttissuemassinthecorrespondinglocation,andthemaximumcross-sectionalareawasabout36mm*28mm.CTshowedmultiplenodulesintheupperlobeoftheleftlung,andnoabnormalFDGuptakewasfound.CTshowednoabnormalFDGuptakeinthefourandfifthmediastinalandlymphnodes,withthemaximumdiameterofabout12mm.NoabnormalFDGuptake,CTshowedadensebilateralbreasttissue,diffuseFDGuptakeslightlyincreased,noabnormalesophagealFDGuptake.PETshowedincreasedFDGuptakeintherightsideofthesternum,withtheSUVmaximum3.0,noabnormaldensityshadowwasfoundinCTofthecorrespondingpart.
StomachandduodenumFDGwasnormal,liverandpancreas;Adrenalglands;DoublekidneyFDGuptakesdidnotseeabnormal;abdominalseeanumberofdifferentforms,differenttubeshapedthicknessblasphemeshadow;retroperitonealareanotseenabnormalFDGuptake.CTuterusshapewasirregular,sawextrudedslightlyhighdensitymassshadow,FDGuptakewiththesurroundinguterinetissue.CTbilateralannexareasawlowdensityshadow,FDGuptakesawnoabnormality:CTshowedlymphnodesontheleftsideofthecavitywall,FDGuptakeincreasedslightly,thelargestSUVwas1.9.
CTshowedtheincreaseddensityshadowsattheleftsideof8thanteriorrib,the10ththoracicvertebra,the1stand2ndlumbar,andnoabnormalFDGuptake.VisualfieldofresidualboneandboneFDGuptakewasnormal.
Diagnosisopinion:
1.Softtissuemassshadowwereseenintheupperlobeoftheleftlungnearthehilum,increasedmetabolism(increasedshapecomparedwithSept.19,2018,increasedmetabolism),malignantlesionisconsidered;
2.Mediastinallymphnodeshadow,noincreaseinmetabolism(nosignificantchangecomparedwithSept.19,2018);reexaminationisrecommended;hadMetabolicincreaseintherightsideofthesternum；reexaminationisrecommended;
3.Multiplesmallnodulesintheupperlobeoftheleftlung,withoutincreasedmetabolism,closereexaminationsarerecommended;Biemphysema;Bilateralhyperplasiaofmammaryglands;Uterinefibroidsisconsidered;Bilateraladnexalareasawlowdensityshadow;andslightlyincreasedmetabolism.Itisrecommendedforregularreviews.
4.The8thleftanteriorrib,the10ththoracicvertebra,andthe1stand2ndlumbarvertebrahadincreaseddensityshadowwithoutincreasedmetabolism.Itisrecommendedtoreviewregularly
5.Leftbasalgangliainfarctionlesion;multipleincreasedshadowsofmetabolisminbilateralsidesofcervix,supraclavicularandspinalnearbyfat,consideredthephysiologicalchanges;Lowdensityshadowswereseeninbilateraladnexalarea,noincreaseinmetabolism,suggestregularreview;Metabolismoflymphnodesintheleftpelvicwallwasslightlyincreased,andregularreexaminationsweresuggested.
6.Therestofthevisionisnormal.
Recheckedby:Reportingdoctor:Reportingdate:Mar.28,2019
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