Imaging agent:18F-FDG

Activity：6.00   mCi

Acquisition method: fault   acquisition 3D

Inspect part: body

Layer thickness：3.00mm

Attenuation   correction: √

Clinical Diagnosis: left lung   mass

Examination   method:

Maintain an empty belly for   over 4h; PET/CT body tomography was performed after intravenous injection of   imaging agent, and the PET image was fused with the CT image after   attenuation correction and selective generation reconstruction, and the image   was clear.

CT showed a small low-density   shadow on the left basal ganglia, and there was no abnormality in FDG uptake;   the FDG uptake and distribution in the remaining brain were normal. PET   showed multiple FDG uptake in the bilateral neck, clavicle and paraspinal.   The maximum SUV was 4.7, and the corresponding part showed CT fat; the soft   tissue structure, morphology and FDG uptake and distribution of the residual   maxillofacial region and neck were normal.

PET showed increased FDG uptake   in the upper lobe of the left lung near the hilar mass, and the maximum SUV   was 12.9. CT showed soft tissue mass in the corresponding location, and the   maximum cross-sectional area was about 36mm* 28mm. CT showed multiple nodules   in the upper lobe of the left lung, and no abnormal FDG uptake was found. CT   showed no abnormal FDG uptake in the four and fifth mediastinal and lymph   nodes, with the maximum diameter of about 12mm. No abnormal FDG uptake, CT   showed a dense bilateral breast tissue, diffuse FDG uptake slightly   increased, no abnormal esophageal FDG uptake. PET showed increased FDG uptake   in the right side of the sternum, with the SUV maximum 3.0, no abnormal   density shadow was found in CT of the corresponding part.    

Stomach and duodenum FDG was   normal, liver and pancreas; Adrenal glands; Double kidney FDG uptakes did not   see abnormal; abdominal see a number of different forms, different tube   shaped thickness blaspheme shadow; retroperitoneal area not seen abnormal FDG   uptake. CT uterus shape was irregular, saw extruded slightly high density   mass shadow, FDG uptake with the surrounding uterine tissue. CT bilateral   annex area saw low density shadow, FDG uptake saw no abnormality: CT showed lymph   nodes on the left side of the cavity wall, FDG uptake increased slightly, the   largest SUV was 1.9.

CT showed the increased density   shadows at the left side of 8th anterior rib, the 10th thoracic vertebra, the   1st and 2nd lumbar, and no abnormal FDG uptake. Visual field of residual bone   and bone FDG uptake was normal.

Diagnosis   opinion:

1. Soft   tissue mass shadow were seen in the upper lobe of the left lung near the   hilum, increased metabolism (increased shape compared with Sept.19,2018,   increased metabolism), malignant lesion is considered;

2. Mediastinal   lymph node shadow, no increase in metabolism (no significant change compared   with Sept.19,2018); reexamination is recommended; had Metabolic increase in   the right side of the sternum；reexamination   is recommended;

3. Multiple   small nodules in the upper lobe of the left lung, without increased   metabolism, close reexaminations are recommended; Biemphysema; Bilateral   hyperplasia of mammary glands; Uterine fibroids is considered; Bilateral   adnexal area saw low density shadow; and slightly increased metabolism. It is   recommended for regular reviews.

4. The   8th left anterior rib, the 10th thoracic vertebra, and the 1st and 2nd lumbar   vertebra had increased density shadow without increased metabolism. It is   recommended to review regularly

5. Left   basal ganglia infarction lesion; multiple increased shadows of metabolism in   bilateral sides of cervix, supraclavicular and spinal nearby fat, considered the   physiological changes; Low density shadows were seen in bilateral adnexal   area, no increase in metabolism, suggest regular review; Metabolism of lymph   nodes in the left pelvic wall was slightly increased, and regular   reexaminations were suggested.

6. The   rest of the vision is normal.

Rechecked   by:          Reporting doctor:           Reporting date: Mar.28, 2019