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    Manohari Nagar

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    Navodaya Hospital
    1) The patient underwent a whole body FDG PET-CT scan as a follow up for lymphoma of the right breast post-chemotherapy. 2) The scan found no abnormal FDG uptake in the right breast or elsewhere in the body, and non-FDG avid right axillary lymph nodes. 3) Compared to a previous PET-CT, there was complete metabolic resolution in the right axillary lymph nodes. The impression was Deauville score I, indicating no evidence of active disease.

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    Manohari Nagar

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    Navodaya Hospital
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    1) The patient underwent a whole body FDG PET-CT scan as a follow up for lymphoma of the right breast post-chemotherapy. 2) The scan found no abnormal FDG uptake in the right breast or elsewhere in the body, and non-FDG avid right axillary lymph nodes. 3) Compared to a previous PET-CT, there was complete metabolic resolution in the right axillary lymph nodes. The impression was Deauville score I, indicating no evidence of active disease.

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    1) The patient underwent a whole body FDG PET-CT scan as a follow up for lymphoma of the right breast post-chemotherapy. 2) The scan found no abnormal FDG uptake in the right breast or elsewhere in the body, and non-FDG avid right axillary lymph nodes. 3) Compared to a previous PET-CT, there was complete metabolic resolution in the right axillary lymph nodes. The impression was Deauville score I, indicating no evidence of active disease.

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    59 views3 pages

    Manohari Nagar

    Uploaded by

    Navodaya Hospital
    1) The patient underwent a whole body FDG PET-CT scan as a follow up for lymphoma of the right breast post-chemotherapy. 2) The scan found no abnormal FDG uptake in the right breast or elsewhere in the body, and non-FDG avid right axillary lymph nodes. 3) Compared to a previous PET-CT, there was complete metabolic resolution in the right axillary lymph nodes. The impression was Deauville score I, indicating no evidence of active disease.

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    NAME: MANOHARI NAGAR AGE / SEX: 60 YRS / F

    REF PHY: DR.SHYAM AGRAWAL MD DM PATIENT ID: NCH-2023-0211


    TEST NAME: WHOLE BODY F 18 FDG PET-CT SCAN DATE: 29- APR- 2023

    WHOLE BODY PET-CT SCAN

    Clinical history: Patient is a follow up case of lymphoma of right Breast. Post chemotherapy status . Current
    PET-CT is being done for further evaluation and disease status.

    Procedure: Whole body FDG PET scan was acquired from vertex to mid thigh in a whole-body PET-CT scanner
    (GE Discovery), one hour after intravenous injection of 370 MBq of 18F-FDG. High resolution, contrast CT scan
    was also obtained of the same area. Oral contrast was administered for bowel opacification, over 90 min, before
    the scan. Images were reconstructed using Q Clear algorithm and slices were reformatted into transaxial, coronal
    and sagittal views. Semi-quantitative estimation of FDG uptake was performed by calculating SUV max value,
    corrected for dose administered and lean body mass (g/ml).

    Findings:
    Physiological biodistribution :- noted in the parapharyngeal region, left ventricle, liver, spleen, kidneys and urinary
    bladder

    Brain:
    Normal physiological tracer distribution noted in the brain parenchyma. No focal abnormal uptake noted in the
    brain.

    Note: All brain lesions may not be apparent on a PET/CT scan and a MRI can be performed where clinically indicated.

    Head and neck:


    Normal physiologic uptake noted in the nasopharynx, oropharynx, hypopharynx and larynx. Parotid and bilateral
    submandibular glands demonstrate normal metabolic activity.

    The thyroid gland shows homogenous pattern on CT. No abnormal FDG uptake is seen in the thyroid.

    No significant cervical / supraclavicular lymphadenopathy noted.

    Thorax:

    Few subcentimetre sized non-FDG avid right axillary level I lymph nodes are noted, largest one measuring about
    2 x 1.4 cm .
    Mild thickening of skin of right breast noted, maximum wall thickness measures about 1 cm.

    The heart and the mediastinal vascular structures are well opacified with I/V contrast. The trachea and main bronchi
    appear normal.

    No focal lesion or abnormal FDG uptake noted in the lung parenchyma.


    Abdomen and pelvis:

    The liver is normal in size and shape No focal intrahepatic lesion is noted. The intrahepatic biliary radicles are not
    dilated. The portal vein is normal. No abnormal FDG uptake is noted in the liver parenchyma.

    The gall bladder is well distended with no abnormal FDG uptake.

    The pancreas and spleen appear normal on CT with no abnormal FDG uptake.

    Bilateral adrenal glands appear normal in size with no abnormal FDG uptake. Both the kidneys appear normal in
    size, shape and attenuation. No scan evidence of calculus or hydronephrosis is noted.

    The stomach, opacified small bowel and rest large bowel loops appear normal in caliber and fold pattern.

    No significant abdominal, retroperitoneal lymphadenopathy noted.

    Urinary bladder is well distended with no abnormal FDG uptake.

    Musculoskeletal system:

    The visualized portion of the musculoskeletal system shows normal physiological tracer distribution.
    IMPRESSION:
    In a follow up case of Lymphoma of Right Breast . Post-chemotherapy. PET/CT scan shows:
     No abnormal FDG avid lesion noted in right breast
     non-FDG avid right axillary level I lymph nodes
     No focal abnormal FDG avid lesion in rest of the body.
     As compared to previous PET-CT dated 11.02.2023, there is complete metabolic resolution of
    metabolic activity in right axillary lymph nodes

    Deauville score I

    Dr ROMA Dr L P KASHYAP
    MD Nuclear Medicine Senior Consultant
    AIIMS, DELHI Nuclear medicine & PET-CT

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