Name; Ehab Kamal/ismaiel Date: 13/05/2023 TDYaZ7 WHOLE BODY *8F-FDG PET/CT EXAMINATION | Clinical History ¢ Apatient 39 years old with history of Upper back mass excision. * Pathologically proven dermatofibrosarcoma 1 RSG a eeeal nelle ee ee Procedure: | * Whole body 18F-FDG PET scan’ and MSCT examination was performed from skull to lower thighs: MSCT of the same level was performed for the purpose of. attenuation Correction, anatomical localization and diagnosis. oT e Scan is done 1hour after IV contrast injection of 370MBq of 18 FDG. Previous Exams: i ** No previous PET/CT study available for comparison. Findings: I- MUSCLOSKELETON: i ¢ Metabolically active subcutaneous soft tissue lesion is seen upper back region; midline and right para-midline location; measuring 5.3x5x6.7cm in its maximum dimensions with SUVmaxz 5.4, ¢ No deep infiltration of the underlying muscles or vertebrae.II- HEAD AND NECK: | ¢ Metabolically active left supraclavicular LN measuring 14x18mm in its maximum dimension with SUVmax=7.1.No metabolically active pharyngeal lesions. No metabolically active laryngeal lesions. Few subcentimetric bilateral upper deep cervical and submandibular LNs areseen)showing no metaboliciactivity; likely non-specific. III- CHEST: No metabolically active pulmonary nodules, masses, or cavitary lesions. No consolidation or collapse No metabolically'active mediastinal lymphadenopathy. No pleural or pericardial effusion. IV- ABDOMEN AND PELVIS Average sized liver showing homogenous low parenchymal attenuation. No metabolically active hepatic focal lesions: No dilated biliary radicles. Both kidneys are normal site, average sized and. showing smooth regular cortical outline and preserved Parenchymal thickness. No stones or back pressure changes. Right upper pole renal cortical cyst measuring 5cm. Normal C.T appearance of the spleen, adrenal glands, Pancreas, aorta and IVC. The urinary bladder shows no evidence of Bross masses or stones. No metabolically active pelvic lesions. No metabolically active abdominal or pelvic lymphadenopathy No ascites.30 i jai N i 1 1: ah INION: e Metabolically active Ceo er back subcutaneous neoplastic lesion; likely repres