MyPACS.net: Radiology Teaching Files > Case 1351770

Never visited LYMPHOMA, RESTAGING
Contributed by: Nuclear Medicine, Radiologist, Stanford University, California, USA.
Patient: 59 year old male
History:

The patient is a 59-year-old male with a
history of diffuse, small bowel large B cell lymphoma, status post
cycle 4 of chemotherapy received 03/04/05. It was diagnosed
09/04/04 from a biopsy of a large abdominal mass.

This case has no images yet.
Findings:


BRAIN: No significant metabolic abnormalities noted on this
limited evaluation.

HEAD AND NECK: Physiologic activity is appreciated. There is no
evidence of cervical hypermetabolic lymphadenopathy.

CHEST: Examination of the bilateral lungs is negative for
abnormally increased FDG uptake. Physiologic cardiac activity is
present. There is no evidence of supraclavicular, axillary or
mediastinal hypermetabolic lymphadenopathy.

ABDOMEN/PELVIS: Compared with the prior PET CT of 01/24/05, there
has been a mild interval decrease in intensity of the large,
multilobulated abdominal mass, transaxial slices 129-149, SUV: 6.4,
(prior SUV: 7.8). There has been complete interval resolution of
hypermetabolism involving the smaller abdominal mass located
superior and lateral, representative transaxial slice 128, (prior
SUV: 9.5).

Examination of the liver, spleen, gastrointestinal tract and
urinary system shows physiologic activity without significant
abnormalities. This scan is negative for inguinal hypermetabolic
lymphadenopathy.

SKELETAL: There is diffusely increased activity involving the
axial and appendicular skeleton consistent with reactive changes
secondary to chemotherapy.

Diagnosis:


1. COMPARED WITH THE PRIOR PET CT OF 01/24/05, THERE HAS BEEN
COMPLETE INTERVAL RESOLUTION OF THE SMALLER HYPERMETABOLIC
ABDOMINAL MASS.

2. THERE HAS BEEN A MILD DECREASE IN HYPERMETABOLISM INVOLVING THE
LARGE MULTILOBULATED ABDOMINAL MASS.

3. NO NEW SITES OF DISEASE ARE NOTED.

Comments:
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Additional Details:

Case Number: 1351770Last Updated: 2005-03-25
Anatomy: Vascular/Lymphatic   Pathology: Neoplasm
Modality: PETAccess Level: Readable by all users
Keywords: stanford, small bowel, abdomen

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