Hi Tom, my mom got the results of pet scan. I am trying to figure it out. Dr didn't say much only she needed a biopsy.
can you have a look at it.
Thank you
Neck: hypermetabolic activity along the right lateral aspect of the larynx with suv max 8.9 with no identifiable mass by CT. This is non specific. Correlate clinically.
THORAX: Background mediastinal activity is SUV max 2.2
Large hypermetabolic left hilar/mediastinal mass with SUV max 23.9. The epicenter of the mass is at the left hilum, measuring at least 6cm transverse, with extension superiorly along the mediastinum to the thoracic inlet. There is adjacent hypermetabolic left lower lobe infiltrate and pleural thickening, which could be neoplactic and/or inflammatory.
There is a 2nd 4.0cm hypermetabolic mass more inferiorly abutting the lateral aspect of the descending aorta with SUV max 10.0, extending inferiorly to the level of the diaphragm along the posteromedial mediastinum. This could be a 2nd adjacent mass, or a bilobed component of the left perihilar mass.
Two hypermetabolic mediastinal nodes, measuring 1.5cm posterior to the carina SUV max 6.5, and 1.2 cm between the aorta and esophagus with SUV max 2.7.
Numerous hypermetabolic hepatic lesions, too numerous to count, with a representative right lobe lesion measuring 2.2cm on image #139 SUV max 8.8 and 1.7cm in the left lobe on image #135 SUV max 8.6.
MUSCULOSKELETAL: hypermetabolic osseous Foci compatible with metastatic disease,located in the anterior arch of C1, T6, and the proximal left femoral diaphysis.
Low dose CT images: Scattered subcentimeter mediastinal nodes are present in the prevascular space, not hypermetabolic. Several additional parenchymal nodules are present, not hypermetabolic as follows: 4mm right medial apex #53, 2 and 3mm in the anterior right upper lobe on #75 and #78, 7mm right lower lobe on #94,3mm pleural-based left lower lobe #91. The cervix is prominent, however not hypermetabolic, therefore likely within the range of normal.
IMPRESSION:
1. Large hypermetabolic left hilar/mediastinal mass with a bilobed component or immediately adjacent 2nd mass just inferior. These masses extend along the entire mediastinum, from the thoracic inlet to the diaphragm. Hypermetabolic mediastinal adenopathy.
2. Hypermetabolic left lower lobe infiltrate with pleural thickening, possibly postobstructive, with known neoplasm not excluded.
3. Extensive hypermetabolic hepatic metastatic disease
4. Hypermetabolic osseous metastatic disease
5. Additional subcentimeter parenchymal nodules as delineated above.