謝夫子，看這裏

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回答: 能否把Findings 也貼上來由 fuz 於 2024-06-26 12:35:52

RELEVANT FINDINGS:
History of left upper lobe mass with:
-A stable, heterogeneously enhancing mass with intense FDG uptake (SUV max 12.9) in the medial left upper lobe extending into the mediastinal fat. This measures approximately 72 x 35 mm (13-241), previously 71 x 34 mm (3-44) on 6/5/2024. There are linear areas of central low attenuation which may reflect areas of mucous plugging.
-Ill-defined, intensely FDG avid (SUV max 7.1, 4-131) soft tissue in the left hilum and mildly narrows the left upper lobe apicoposterior bronchus and focally occludes the left anterior upper lobe bronchus.
-Multiple FDG avid lymph nodes in the left hilum, bilateral paratracheal, subcarinal and right hilar nodal stations, some partially calcified. These appear roughly stable to the 2 prior comparison studies, although evaluation of the hilar nodes on the prior study is limited due to lack of intravenous contrast. For example, a subcarinal lymph node measures 12 x 23 mm (13-196) with an SUV max of 6.7, previously 6/5/2024 equals 11 x 21 mm (3-67), 4/29/2022 = 11 x 24 mm (3-67).
INDETERMINATE FINDINGS:
-Diffuse mild to moderate FDG uptake of the bone marrow without CT correlate.
-Intense FDG uptake (SUV max) involving a prominent subcentimeter short axis right level 2 lymph node (4-45) and increased FDG activity in the bilateral tonsils and nasopharynx..
-Mildly enlarged heterogeneously enhancing left para-aortic lymph node versus retroperitoneal nodule measuring 14 x 22 mm with mild FDG uptake (4-248, SUV max 3.4).
ADDITIONAL FINDINGS:
PET:
Physiologic FDG uptake is noted in the visualized portions of the brain, salivary gland tissues, myocardium, the abdominal solid organs, gastrointestinal tract, both kidneys, ureters and the urinary bladder.
For SUV reference:
SUVmean/max liver 3.0/3.5
SUVmean/max mediastinal blood pool (measured at the descending thoracic aorta) 2.2/2.4
BASE OF HEAD AND NECK:
Unremarkable.
CHEST:
Lungs: As above. Scattered subcentimeter groundglass nodules (for example 13-232, 229, 199, 132). Few additional scattered nonspecific solid micronodules (for example 13-262, 152). Bandlike atelectasis versus scarring in the right middle lobe and right
lower lobe.
Lymph nodes and Mediastinum: As above.
Pleura: Unremarkable.
Cardiovascular: Normal heart size. No pericardial effusion. Mild
atherosclerotic calcification of the coronary arteries and thoracic aorta.
ABDOMEN/PELVIS:
Liver: Normal density and contour.
Gallbladder and bile ducts: Gallstones with no gallbladder wall thickening or pericholecystic fluid. No biliary dilation.
Spleen: Unremarkable.
Pancreas: Unremarkable.
Adrenals: Unremarkable.
Kidneys and ureters: Normal kidney size. No hydronephrosis. Subcentimeter renal hypodensities in the left kidney too small to characterize but likely cysts.
Bowel: Intense diffuse FDG uptake in the bowel related to metformin use. Small hiatal hernia. Few scattered colonic diverticula.
Bladder: Unremarkable.
Reproductive organs: Normal uterus. No adnexal masses.
Lymph nodes: As above.
Peritoneum: Unremarkable.
Vessels: Mild atherosclerosis.
Abdominal wall: Unremarkable.
MUSCULOSKELETAL:
As above. Multilevel degenerative changes of the spine. Mild superior compression deformity of the T11 vertebral body.