Technical Note: Examination performed after 572MBq F18-glucose. 3-D acquisition performed from the skull base to mid thigh. Helical CT performed in the same distribution for anatomic correlation and attenuation correction.
Findings: There is no evidence of pathologic uptake seen in the surgical bed from prior tongue resection. Postoperative changes on the left are seen on CT. There is focal increased activity seen in posterior strap muscle, which was present on the 12/09/08 exam, but is more focally glycolytic on today's studies. The distribution of radionuclide is otherwise physiologic. No lung parenchymal abnormalities are identified on PET. Emphysematous changes are seen on CT. Feeding tube is present with its tip in the region of the gastric antra.
Impression: No evidence of local recurrence in neoplasm. Postoperative changes are present as mentioned. There is slight increased glucose uptake in posterior right sternocleidomastoid. While this is likely asymmetric muscle uptake, it is slightly more prominent than on prior exam and clinical correlation and if indicated, CT postcontrast is recommended to ensure there is not a subjacent node. There continues to be no evidence of disease outside the head and neck.
This PET CT report shows normal uptake in the body, indicating that after the surgery on the tongue, the cancer has not recurred there, nor spread to other parts like lymph nodes, lung, etc.
There is some increased activity in a muscle on the right side of the neck, it does not exhibit any classic signs of cancer. You may like to discuss this specific point with your treating doctor.
Overall, a good report!
All the best, and God Bless!
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.