Clinical History
49 years old lady treated with chemotherapy for Ca cervix (stage 2B), in 2002, followed by radiation therapy in 2003. PET/CT to assess disease status.
Findings
No FDG avid lesion is detected in the cervix uteri, vaginal vault and uterus or along the pelvic side walls. No hydronephrosis is detected. No ascites or FDG-avid peritoneal nodules are noted.
There are no FDG-avid pelvic, retroperitoneal or intra-abdominal nodes. The non FDG-avid subcentimeter bilateral inguinal nodes are more in keeping with reactive nodes.
The non FDG avid hypodensities in segment II and VIII of the liver are more in keeping with liver cysts. No abnormal FDG-avid focus is seen in the liver, spleen, pancreas or adrenal glands. Tiny cortical renal cysts are also present in the lower pole of the right kidney.
No FDG-avid hilar, mediastinal or supraclavicular nodes are noted. The non FDG-avid tiny subcentimeter bilateral axillary as well as bilateral level II cervical/jugular nodes of low grade activity are more in keeping with reactive nodes. The diffuse low grade to mildly increased activity in the thyroid lobes (SUVmax of 3.4 for the right thyroid lobe) is more in keeping with benign origin (thyroiditis / Grave's disease). One subcentimeter hypodense left thyroid nodule is also noted on the correlative CT images.
No abnormal FDG-avid focus is noted in either of the breasts. No FDG-avid focus or suspicious nodule is seen in the lungs.
No pleural or pericardial effusion is noted.
The reduced marrow activity in the lower lumbar and sacral region is most likely due to previous radiation therapy. One non-FDG avid sclerotic lesion is present in the right ilium. No FDG avid skeletal foci are detected.
Clinical Impression
There is no scan evidence of FDG-avid recurrent malignancy.
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