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Metastatic Disease

Storm ESS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Disease

History: Patient has history of colon cancer, with CT negative for metastatic disease. He was treated with hemicolectomy, after which time a PET/CT was performed, revealing an unsuspected hypermetabolic focus in the liver. He underwent 4 cycles of chemotherapy, and had a subsequently negative PET/CT at that time. A follow up PET/CT was performed two months later, which is this case....

Findings: The routine 1 hour post-injection images are normal. No hypermetabolism is seen within the liver. Delayed (Dual Time Point) images now demonstrate a focus of hypermetabolism within the liver--at the same location as the previous abnormality.

Ddx: Tumor Recurrence vs. persistent tumor DeNovo Tumor Artifact

Dxhow: Surgical Excision

Exam: Unremarkable. CEA (at time of s/p 4 cycle scan): 4.5 ng/ml (normal)

No MeSH data available.


Focus of hypermetabolism is now clearly seen in the medial right hepatic lobe, consistent with recurrent disease.
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MPX1323_synpic20086: Focus of hypermetabolism is now clearly seen in the medial right hepatic lobe, consistent with recurrent disease.


Metastatic Disease

Storm ESS - MedPix

Focus of hypermetabolism is now clearly seen in the medial right hepatic lobe, consistent with recurrent disease.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1323&req=5

MPX1323_synpic20086: Focus of hypermetabolism is now clearly seen in the medial right hepatic lobe, consistent with recurrent disease.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Disease

History: Patient has history of colon cancer, with CT negative for metastatic disease. He was treated with hemicolectomy, after which time a PET/CT was performed, revealing an unsuspected hypermetabolic focus in the liver. He underwent 4 cycles of chemotherapy, and had a subsequently negative PET/CT at that time. A follow up PET/CT was performed two months later, which is this case....

Findings: The routine 1 hour post-injection images are normal. No hypermetabolism is seen within the liver. Delayed (Dual Time Point) images now demonstrate a focus of hypermetabolism within the liver--at the same location as the previous abnormality.

Ddx: Tumor Recurrence vs. persistent tumor DeNovo Tumor Artifact

Dxhow: Surgical Excision

Exam: Unremarkable. CEA (at time of s/p 4 cycle scan): 4.5 ng/ml (normal)

No MeSH data available.