| Literature DB >> 29889033 |
William Makis1, Mark Palayew2, Christopher Rush2, Stephan Probst2.
Abstract
A 60-year-old female with no significant medical history presented with hematuria. A computed tomography (CT) scan revealed extensive lymphadenopathy with hypodensities in the liver and spleen, and she was referred for an 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/CT (PET/CT) study to assess for malignancy of unknown primary. PET/CT revealed extensive 18F-FDG avid lymphadenopathy as well as innumerable intensely 18F-FDG avid lung, liver and splenic nodules, highly concerning for malignancy. A PET-guided bone marrow biopsy of the posterior superior iliac spine revealed several non-necrotizing, well-formed granulomas, consistent with sarcoidosis. The patient was managed conservatively and remained clinically well over the subsequent 9 years of follow-up.Entities:
Keywords: 18F-fluorodeoxyglucose positron emission tomography.; Sarcoidosis; artifact; lymphadenopathy; metastases; mimic
Year: 2018 PMID: 29889033 PMCID: PMC5996599 DOI: 10.4274/mirt.29200
Source DB: PubMed Journal: Mol Imaging Radionucl Ther