Mansoura university ‫جامعه المنصورة‬

Oncology center (OCMU)

‫مركز االورام‬

Patient Name: Ibrahim Bakry Mahrous Hassan Age: 50 years

Referring Physician: Date: 4/7/2020

Whole body FDG PET CT Study

Clinical Data
A 50 years old male with history of right renal cell carcinoma underwent right
nephrectomy at 2010 , recently developed metastatic deposits , for FDG PET-CT
evaluation.
Technique
Wt.:90kg Ht. 174cm FBS at tracer injection time: 101 mg/dl]
Radiopharmaceutical: F-18-FDG, around 8.9 mCi. Intravenous.
Image sequence:
 Approximately one hour after radiopharmaceutical IV administration, whole body PET
was acquired from the skull level till the mid-thighs. Both arms were placed in extension
position above the heads.
 Qualitative and semi-quantitative assessment of the PET images was done.
 SUV was taken over the liver (SUV max 3.2) and calculation was done according to body
weight.
 IV contrast was administered
 CT was also done aiming at anatomic localization and; attenuation correction and
obtaining fusion images. data was processed and displayed into the usual cuts.

I.PET/CT
Finding:
A) Loco-
regional: -

‫ جامعة المنصورة – ش جيهان‬- ‫ مركز األورام‬- ‫ الدقهلية – مدينة المنصورة‬M‫ محافظة‬: ‫العنوان‬
web site : http://ocmu.mans.edu.eg 0502202942 : ‫ فاكس‬, 0502202943 : ‫تليفون‬
Mansoura university ‫جامعه المنصورة‬
Oncology center (OCMU)
‫مركز االورام‬

o Evidence of right nephrectomy.

o Operative bed: - clear operative bed with no evidence of
metabolically active soft tissue lesions that could
account for local tumoral recurrence.
 Regional nodes:
 No evidence of sizable active regional abdominal
nodes.
B) Distant:
 Osseous:-
 Multiple variably active scattered predominantly lytic
osseous lesions, some seen associated with extra-
osseous soft tissue components & distributed as
follow: -
Site Activity (SUV max)

 Hard palate 13.4

 Sternum 4.4
 Rt clavicle 4.5
 Lt scapula 4
 Spine
o Cervical (most active C6-7) ** 7.2
o mid dorsal * 7.1
o lower dorsal (DV12) 5.7
o Lumbar 6.2
 Pelvic bone
o sacrum 5.7
o RT Iliac ** 7.3
o LT Iliac 3
o LT acetabulum 5
o RT acetabulum 4.5
o Lt ischium 3.8
 long bones:
o RT femur upper shaft 4.2
**Osseous lesions seen with extra-osseous soft tissue components.
* Mid-dorsal spine internal fixation are noted
 Pulmonary:-
o Multiple bilateral residual variably remitted small
scattered pulmonary nodules are seen, more sizable
nodules noted at left lower lobe, ranging up to 1.1 cm,

‫ جامعة المنصورة – ش جيهان‬- ‫ مركز األورام‬- ‫ الدقهلية – مدينة المنصورة‬M‫ محافظة‬: ‫العنوان‬
web site : http://ocmu.mans.edu.eg 0502202942 : ‫ فاكس‬, 0502202943 : ‫تليفون‬
Mansoura university ‫جامعه المنصورة‬
Oncology center (OCMU)
‫مركز االورام‬

with max SUV~1, associated with bilateral basal

atelectatic bands.

 Otherwise, no definite active distant deposits could be detected

all over the body.

II. Diagnostic CT Findings: -

 Fatty liver.
 Calcular gall bladder.
 The spleen, left kidney, adrenals, aorta and IVC appear
unremarkable.
OPINION:

**FU PET-CT study for a case of metastatic right renal cell carcinoma
shows:-

A) Loco-regional:-

o Right nephrectomy operative bed showing : No evidence of

metabolically active soft tissue lesions that could account for
loco-regional recurrence.
 Regional nodes :- No evidence of sizable active regional
abdominal nodes
B) Distant:-

 Multiple variably active scattered predominantly lytic osseous

deposits are noted.
 Multiple bilateral residual variably remitted small scattered
pulmonary metastatic nodules are noted , for follow up.
 Otherwise , No definite active distant deposits could be detected
all over the body.
Nuclear Medicine Unit

Nuclear Medicine Physician

Prof; Magdy Kotb, MD

‫ جامعة المنصورة – ش جيهان‬- ‫ مركز األورام‬- ‫ الدقهلية – مدينة المنصورة‬M‫ محافظة‬: ‫العنوان‬
web site : http://ocmu.mans.edu.eg 0502202942 : ‫ فاكس‬, 0502202943 : ‫تليفون‬