Patient Name : BIJOY CHOWDHURY Lab No.

: FBD2302137969
Age / Sex : 72 Y / M Registration On : 04-02-2023
Referred By : Dr. PRAVEEN BANSAL Collection Date :
Patient ID : UFBD.0000072982 Received Date :
Centre : FARIDABAD Approved Date : 08/Feb/2023 12:31PM

18F-PSMA WHOLE BODY PET-CECT SCAN

Whole body PET/CT scan was done following intravenous administration of 12.0 mCi F18–
PSMA. Imaging was performed on PET scanner with Multidetector Computerised
Tomography (MDCT), scanning from head to mid-thigh. A separate sequence with breath
hold was performed for lung. A semiquantitative analysis of PSMA uptake was performed
by calculating SUV corrected for dose administered and patient lean body mass.

CLINICAL HISTORY: Patient is a suspected case of carcinoma prostate. Recent serum PSA
32.7 ng/ml (23.01.23). PET-CECT scan is being done for further evaluation.

OBSERVATIONS:

The overall biodistribution of 18F-PSMA is within normal physiological limits.

Brain:

Age related cerebral cortical atrophy is seen.

No obvious intracranial space occupying lesion and / or focal abnormal tracer uptake noted in the brain
parenchyma. Please Note: All brain metastases may not be apparent on a PET-CT scan and MRI can be performed where clinically
indicated.

Head & Neck:

No abnormal tracer uptake is noted in the nasopharynx, oropharynx, hypopharynx and larynx.

Dental implants seen in situ resulting in streak artifacts obscuring the regional anatomy.

Physiological F18-PSMA uptake is noted in bilateral lacrimal, parotid and submandibular glands.

The thyroid gland shows no abnormal PSMA uptake.

No abnormal F18-PSMA avid bilateral cervical or supraclavicular lymphadenopathy is seen.

Thorax & Mediastinum:

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

Scan to Validate Report Page 1 of 4

House Of Diagnostics Health Care Pvt. Ltd., Plot No.55, Neelam Bata Road, N.I.T. Faridabad
Patient Name : BIJOY CHOWDHURY Lab No. : FBD2302137969
Age / Sex : 72 Y / M Registration On : 04-02-2023
Referred By : Dr. PRAVEEN BANSAL Collection Date :
Patient ID : UFBD.0000072982 Received Date :
Centre : FARIDABAD Approved Date : 08/Feb/2023 12:31PM

Bilateral pulmonary parenchyma do not show any obvious focal lesion with abnormal tracer uptake.

No significant mediastinal / hilar lymphadenopathy with increased tracer uptake is noted.

There is no evidence of pleural effusion / thickening on either side.

Abdomen & Pelvis:

Liver appears shrunken with coarse CT attenuation pattern. Hepatic margin appears lobulated. There is
evidence of volume redistribution with relative hypertrophy of left lobe and caudate lobe. Interlobar
fissure appears prominent – findings likely suggesting underlying chronic liver disease. Multiple
collaterals are seen in perigastric, perisplenic and perihepatic regions. The intra hepatic biliary radicals
are not dilated. The portal vein is normal. No focal lesion with abnormal contrast enhancement and / or
increased tracer uptake is seen involving hepatic parenchyma.

The gall bladder is well distended, showing physiological F18-PSMA accumulation with no evidence of an
intraluminal radio-opaque calculus noted ( U S G i s t h e m o d a l i t y o f c h o i c e t o e v a l u a t e f o r c h o l e l i t h i a s i s /
choledocholithiasis).

The spleen is mildly enlarged in size (13.5 cm CC) and demonstrates physiological PSMA uptake.

The pancreas demonstrates normal attenuation with no evidence of abnormal tracer uptake.

Both adrenal glands demonstrate near normal size, homogeneous enhancement on CT and no abnormal
tracer uptake.

Non PSMA avid bilateral renal cortical cysts are noted. Bilateral kidneys appear normal in size, shape,
attenuation and physiological cortical F18-PSMA uptake.

The stomach and bowel loops appear normal in calibre and fold pattern with no abnormal F18-PSMA
uptake. Physiological uptake of PSMA is noted in the small bowel loops.

No significant F18-PSMA avid abdominal, retroperitoneal, pelvic or bilateral inguino-femoral

lymphadenopathy is seen.

No free peritoneal fluid is seen.

Urinary bladder is normal in shape, size and distension. Bladder mucosa appears unremarkable.

Prostate gland is enlarged in size and measures ~ 3.6 x 4.5 x 4.6 cm. Increased
heterogeneous PSMA uptake seen in the entire prostate gland (SUVmax 35.4). Anteriorly,
Scan to Validate Report Page 2 of 4

House Of Diagnostics Health Care Pvt. Ltd., Plot No.55, Neelam Bata Road, N.I.T. Faridabad
Patient Name : BIJOY CHOWDHURY Lab No. : FBD2302137969
Age / Sex : 72 Y / M Registration On : 04-02-2023
Referred By : Dr. PRAVEEN BANSAL Collection Date :
Patient ID : UFBD.0000072982 Received Date :
Centre : FARIDABAD Approved Date : 08/Feb/2023 12:31PM

the enlarged prostate gland is indenting the posterior wall of urinary bladder. Posteriorly,
fat planes with the rectum are preserved. Bilateral seminal vesicles appear involved.

Musculo-skeletal System:

PSMA avid multiple sclerotic lesions are seen in the following bones:

Head of left humerus

Left scapula
Few bilateral ribs
Multiple dorsolumbar vertebrae
Sacrum and pelvic bones (right iliac bone – SUVmax 26.4)
Bilateral femora

Degenerative changes are seen in the vertebral column.

OPINION:

18F-PSMA PET-CT SCAN REVEALS

Prostatomegaly with increased PSMA expression within, as described – likely s/o
primary neoplastic etiology.

Increased PSMA expressing multiple skeletal lesions - likely metastatic.

Features of CLD with mild splenomegaly.

No evidence of F18-PSMA avid lesion noted anywhere else in the visualized body.

Clinical correlation is advised.

(Disclaimer): The science of diagnostic imaging is based on the interpretation of various shadows produced by both the normal and abnormal tissues and is neither complete nor accurate.
Further pathological and radiological investigations with clinical correlations are required to enable the clinician to reach the final diagnosis. For interpretation by Registered Medical
Practitioner only. Not for medico legal cases.

*** End Of Report ***

In case of any discrepancy due to typing error, kindly get it rectified immediately.This is professional opinion, not a diagnosis.

Scan to Validate Report Page 3 of 4

House Of Diagnostics Health Care Pvt. Ltd., Plot No.55, Neelam Bata Road, N.I.T. Faridabad
Patient Name : BIJOY CHOWDHURY Lab No. : FBD2302137969
Age / Sex : 72 Y / M Registration On : 04-02-2023
Referred By : Dr. PRAVEEN BANSAL Collection Date :
Patient ID : UFBD.0000072982 Received Date :
Centre : FARIDABAD Approved Date : 08/Feb/2023 12:31PM

Scan to Validate Report Page 4 of 4

House Of Diagnostics Health Care Pvt. Ltd., Plot No.55, Neelam Bata Road, N.I.T. Faridabad
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