Patient Name : MALTI DEVI Lab No.

: KKD2308333319
Age / Sex : 63 Y / F Registration On : 18-08-2023
: B R AMBEDKAR INSTITUTE ROTARY CANCER
Referred By Collection Date :
HOSPITAL
Patient ID : UYSF.0000084381 Received Date :
Centre : HARGOVIND ENCLAVE Approved Date : 19/Aug/2023 10:40AM

F18-FDG WHOLE BODY POSITRON EMISSION TOMOGRAPHY WITH CONTRAST ENHANCED CT

SCAN

Whole body PET CT scan was done following intravenous administration of F18 - FDG. Imaging was
performed from the vertex to mid-thigh using the GE Discovery dedicated PET scanner with Multidetector
Computerised Tomography (MDCT). Oral contrast was administered for bowel opacification. Non-ionic
intravenous contrast injection was administered. A separate sequence with breath hold was performed for
lung along with a separate series for brain examination. A semiquantitative analysis of FDG uptake was
performed by calculating SUV corrected for dose administered and patient lean body mass. The blood sugar
at the time of tracer injection was 131 mg/dl.
Clinical History: Patient is a follow up case of carcinoma endometrium, status post cytoreductive
surgery (March 23, 2023), post 6 cycles of chemotherapy (finished September 2022). She is now on
tamoxifen and megestrol. PET-CT scan is being done for treatment response evaluation. Previous
PET-CT scan done on 25 February 2023 is available for review.

FINDINGS:

The overall biodistribution of FDG is within normal physiological limits.

Brain:

The supra and infra tentorial brain parenchyma appears unremarkable. There is no ICSOL seen. The brain
parenchyma demonstrates normal FDG uptake.
Note: If there is strong suspicion for brain metastasis then MRI is suggested for further evaluation as smaller lesion may not be detected
on FDG PET CT.

Head and Neck:

Metallic streak artefacts are seen in the oral cavity due to dental implants causing obscuration of images.

The nasopharynx, oropharynx, hypopharynx and larynx appear normal. Both lobes of the thyroid gland appear
bulky in size and demonstrate multiple non FDG avid upto centimeter size hypodense nodules within, few
showing calcification, likely multinodular goiter. Rest of head and neck structures appear unremarkable.
No size significant or FDG avid cervical lymphadenopathy seen.
Thorax:

The heart and mediastinal vascular structures appear normal. The trachea and both main bronchi appear
normal.
No significant FDG avid mediastinal or hilar lymphadenopathy seen.

A tiny non FDG avid subpleural nodule is seen in left upper lobe which remains unchanged, possibly
benign. Bilateral lung fields otherwise appear unremarkable with no focal pulmonary parenchymal lesion seen.
Scan to Validate Report Page 1 of 3

House Of Diagnostics Healthcare Pvt. Ltd., 14, 15 & 16, Hargovind Enclave, Main Vikas Marg, Delhi-92
Patient Name : MALTI DEVI Lab No. : KKD2308333319
Age / Sex : 63 Y / F Registration On : 18-08-2023
: B R AMBEDKAR INSTITUTE ROTARY CANCER
Referred By Collection Date :
HOSPITAL
Patient ID : UYSF.0000084381 Received Date :
Centre : HARGOVIND ENCLAVE Approved Date : 19/Aug/2023 10:40AM

There is no evidence of pleural effusion on either side.

Breasts:

Bilateral breasts and axillae appear unremarkable.

Abdomen:

The liver is enlarged, measuring approximately 16.7 cm in craniocaudal extent and demonstrates diffuse
hypoattenuation suggestive of fatty infiltration. The intra hepatic biliary radicals are not dilated. The portal
vein is normal. No abnormal FDG accumulation is seen in the hepatic parenchyma.
The gall bladder is well distended with no evidence of intraluminal radio opaque calculus noted (USG is modality
of choice to evaluate for cholelithiasis).

The spleen, pancreas and bilateral adrenal glands demonstrate normal attenuation pattern with no abnormal
FDG uptake.

Bilateral kidneys appear normal in size and show physiological FDG uptake. No evidence of hydronephrosis
is noted.
The stomach, opacified small bowel and large bowel loops appear normal in calibre and fold pattern with no
evidence of abnormal FDG uptake.

There is no evidence of significant FDG avid abdominal, retroperitoneal or pelvic lymphadenopathy seen.No
ascites is seen.
Urinary bladder is partially distended and unremarkable.

Post hysterectomy status noted. Non FDG avid, subtle ill defined enhancing nodular lesion,
measuring approximately 1.2 x 1.1 cm in size is seen centred in right side of vaginal vault.
Intervening planes with adjacent structures appear preserved.
An FDG avid (SUV max 19.9) enhancing left inguinal lymph node is seen, measuring approximately
1.5 cm in short axis diameter. Few other mildly FDG avid and non avid, predominantly
subcentimeter sized, left inguinal lymph nodes are seen.

There is near complete resolution of previously seen FDG avid right inguinal lymph nodes, with few
non FDG avid residual subcentimetre sized lymph nodes seen, most with fatty hila.
Faintly FDG avid, subtle nodular thickening of the skin in left prepubic region is seen.
Musculo-skeletal System:

No focal FDG avid lesion is seen in the visualized skeleton.

IMPRESSION:
In a known case of carcinoma endometrium, PET-CT scan findings are suggestive of

Scan to Validate Report Page 2 of 3

House Of Diagnostics Healthcare Pvt. Ltd., 14, 15 & 16, Hargovind Enclave, Main Vikas Marg, Delhi-92
Patient Name : MALTI DEVI Lab No. : KKD2308333319
Age / Sex : 63 Y / F Registration On : 18-08-2023
: B R AMBEDKAR INSTITUTE ROTARY CANCER
Referred By Collection Date :
HOSPITAL
Patient ID : UYSF.0000084381 Received Date :
Centre : HARGOVIND ENCLAVE Approved Date : 19/Aug/2023 10:40AM

Post operative status with non FDG avid subtle enhancing nodular lesion in vaginal vault
centred on right side- suggested pathological evaluation to exclude disease recurrence.

Note is made of few FDG avid left inguinal lymph nodes with faintly FDG avid subtle nodular
skin thickening in prepubic region. The possibility of inflammatory/infective etiology may be
excluded- suggested clinical and pathological correlation.
No other FDG avid metastatic disease noted elsewhere in rest of the body surveyed.

As compared to the previous PET-CT scan done on 25 February 2023,

The nodular lesion in vaginal vault shows significant resolution of FDG uptake.
There is near complete resolution of right inguinal lymphadenopathy with appearance of FDG
avid and non avid left inguinal lymph nodes.

Please correlate clinically.

*** 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 3

House Of Diagnostics Healthcare Pvt. Ltd., 14, 15 & 16, Hargovind Enclave, Main Vikas Marg, Delhi-92
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