Patient: Algazea, Mohammad, Ahmed AL-SABAGH Ordering

ID: FL1073796 DOB: 3/29/1970

Age/Gender: 47Y, F Procedure: PET CT Study Date: 9/11/2017 11:40:01 AM

Order #: FL1107247

Report Status: Preliminary

Whole Body F18- FDG PET/CTstudy

Clinical history:-

47 yrs old female patient , Recently diagnosed case of pelvic non Hodgkin lymphoma and one seesion of
chemotherapy received

Type of the study:initial study.

Procedure:

Radiopharmaceutical: 18F FDG, 10.7 mCi I.V.

Blood glucose level at time of 18F-FDG injection: 111 mg/dL .

Time from 18F-FDG injection to scan: 60 min

Technique :MDCT diagnostic post contrast examination was taken after I.V. non-ionic contrast
administration for attenuation correction anatomic localization followed by PET images from the skull
vault to the mid thigh were obtained.

Images of CT and corresponding functional PET images are taken in axial, coronal and sagittal planes.

Patient's height: 153 cm patient's weight: 125 kg

SUV average of reference hepatic activity = 3.26 SUV

PET/CT FINDINGS:-

Head and Neck:

No metabolically active FDG avid lymph nodes are seen involving:

The brain exhibited normal FDG bio-distribution

Physiologic FDG uptake is seen in the oropharynx, salivary glands, and larynx.
Enlarged thyroid gland yet no FDG Avid uptake

Chest:

No metabolically active FDG avid lymph nodes are seen involving:

Normal FDG uptake is seen throughout both lungs with no FDG avid lung nodules or masses
detected /

There are no pleural or pericardial abnormalities.

Physiologic FDG uptake is noted in the myocardium.

Abdomen and Pelvis:

Enlarged liver with no focal lesions noted .

Bilateral enlarged inguinal lymph nodes , that on the left side shows high metabolic activity measuring
2.7 x 1.6 cm and maximum SUV uptake 6 .

Focal metabolic avid FDG uptake is seen at the left subcutaneous gluteal region could represent post
injection granuloma .

No evidence of lymphomatous infiltration of the liver , kidneys and pancreas

There are no FDG avid adrenal nodules.

No evidence of FDG avid peritoneal nodules

Physiologic FDG excretion is seen in the kidneys and bladder.

No evidence of ascites

Musculoskeletal:

Right iliac bone show patchy sclerotic and lytic deposit yet with no metabolic FDG-Uptake likely inactive
lymphomatous lesion .

Bilateral sacroliliitis .

Conclusion:
A known case of [ pelvic non Hodgkin ] lymphoma, PET/CT revealed single metabolically active left
inguinal lymph node for follow up

Right iliac bone inert patchy mixed lytic and sclerotic lesion

Nabil Ahmed ,Msc

Prof Dr. Ahmed Fathy

Thanks for referral;

Radio-diagnosis department ,

Nuclear Medicine unit ASUH