Please, I know no members of this forum are physicians, but please help me to understand results of this Pet scan


Combined Report of: PET and CT on 9/8/2014 10:20 AM :

1. PET of the neck, chest, abdomen, and pelvis.
2. PET CT Fusion for Attenuation Correction and Anatomical
Localization: Images were evaluated in axial, coronal, and sagittal
planes in bone, soft tissue, and lung windows.
3. Diagnostic CT scan of the chest, abdomen, and pelvis with
intravenous contrast for interpretation.
4. 3D MIP and PET-CT fused images were processed on an independent
workstation and archived to PACS and reviewed by a radiologist.

Technique:

1. PET: The patient received 10.66 mCi of F-18-FDG; the serum glucose
was 102 prior to administration, body weight was 77.7 kg. Images were
evaluated in the axial, sagittal, and coronal planes as well as the
rotational whole body MIP. Images were acquired from the Vertex to the
Feet.

UPTAKE WAS MEASURED AT 60 MINUTES.

2. CT: Volumetric acquisition for clinical interpretation of the
chest, abdomen, and pelvis acquired at 3 mm sections . The chest,
abdomen, and pelvis were evaluated at 5 mm sections in bone, soft
tissue, and lung windows. The patient received 105 cc. Of Isovue 370
intravenously for the examination.
--

INDICATION: Malignant neoplasm of tongue, unspecified site

ADDITIONAL INFORMATION OBTAINED FROM EMR: 57-year-old male with
squamous cell carcinoma of the mouth status post partial glossectomy
and floor of the mouth resection and bilateral supra- myohyoid neck
dissections in September of 2013 presents with new metastatic right
lower lobe lung lesion.

COMPARISON: Neck PET CT from outside hospital 6/3/2014. Chest CT
5/19/2014.

FINDINGS:

TARGET LESIONS: No lesions suspicious for malignancy.

HEAD/NECK:
See dedicated neuroradiology report for the results of the high
resolution PET CT of the neck.

CHEST:
There is no suspicious FDG uptake in the chest.

Heart is not enlarged. No pericardial effusion. Trace right pleural
effusion. No central pulmonary embolism. Right lower lobe wedge
resection changes. Unchanged prominent sized non-hypermetabolic
bilateral axillary lymph nodes.

A few bilateral pulmonary nodules measuring up to 4 mm in the
posterior left lower lobe on series 8 image 130 are unchanged since
the oldest CT from 9/4/2013.

ABDOMEN AND PELVIS:
No suspicious FDG uptake in the abdomen or pelvis.
Gallbladder is partially decompressed. The liver, adrenals, kidneys,
pancreas, and spleen are normal. Bowel is nonobstructed. No
lymphadenopathy.

LOWER EXTREMITIES:
No abnormal masses or hypermetabolic lesions

BONES:
There are no suspicious lytic or blastic osseous lesions. There is no
abnormal FDG uptake in the skeleton. Continued mild scattered
compression deformities throughout the thoracic and lumbar spine.
Continued moderate to severe degenerative changes in both hips greater
on the right.