Patient’s Name Surjeet Kaur Age / Sex 56y/F

MRN 230929 Date Dec 29, 2022

PET – CECT SCAN

CLINICAL HISTORY :-

Suspected case of carcinomarectum.

PROTOCOL: -
Whole body PET/CT scan was done after I.V. injection of 370 MBq (10mci) of 18F-FDG, using a
wholebody full-ring dedicated GEBGO PET/CT scanner. CT images were obtained using 130KV and
90mAs (mean). CT based attenuation correction was done. Images were reconstructed using
standard iterative algorithm (OSEM) and reformatted into Transaxial, Coronal and Sagittal views. A
3D image and fusion images of PET & CT were obtained. Contrast enhanced CT scan of neck, chest
and whole abdomen was also performed.

FINDINGS:-
Physiological biodistributionnoted in the parapharyngeal region, liver, spleen, kidneys and
urinary bladder.
Head & Neck:
No focal abnormal FDG uptake is seen in bilateral cerebral or cerebellar hemispheres.
[NOTE : Small lesions may not be detected by PET.CT scan. MRI evaluation may be required for further evaluation].

Nasopharynx, oropharynx, hypopharynx and larynx appear normal with no abnormal FDG
uptake seen in relation to them.

Thyroid gland is normal in size and attenuation pattern. Bilateral major salivary glands
appear normal.

No enlarged cervical lymph nodes with increased FDG uptake are seen.

Thorax:

The lung parenchyma shows normal bronchovascular pattern. No pulmonary parenchymal

lesion with increased FDG uptake is seen.

No enlarged mediastinal lymph node with increased FDG uptake is seen.

There is no evidence of pleural effusion.

Contd….2

…..2
Abdomen & Pelvis:
Multiple FDG avid (SUV max: 4.0) enhancing lesions are noted in both lobes of liver,
largest measuring approximately 3.3 x 1.6 cm in segment III. Intrahepatic biliary radicals
are not dilated. Portal and hepatic veins are normal.

Gall bladder, pancreas, spleen, kidneys and adrenals appear normal with no abnormal FDG
uptake seen in relation to them.

FDG avid (SUV max: 2.2) heterogeneously enhancing circumferential wall thickening (~
26 mm in thickness, ~ 4.9cm in length) is seen involving the distal rectum and anorectum.
It is causing moderate luminal compromise, however no e/o obstruction seen. Perilesional
stranding is seen. FDG avid perilesional/perirectal and presacral lymph nodes are noted.
Stomach and rest of the bowel loops appear normal.
No enlarged abdominal lymph nodes with increased FDG uptake are seen.
There is no evidence of free peritoneal fluid.
Musculo-skeletal system:
No focal lesion/abnormal FDG uptake is seen in visualized skeleton.

IMPRESSION: -

PET-CT reveals –
 FDG avid heterogeneously enhancing circumferential wall thickening (~ 26 mm in
thickness, ~ 4.9cm in length) involving the distal rectum and anorectum with
perilesional lymph nodes: likely primary mitotic lesion.

 FDG avid liver lesions: metastases.

Dr.Saloni Mehta

MBBS, DRM (Gold Medalist), DNB (Gold Medalist)

Consultant PET CT & Nuclear Medicine