PET/CT SCAN 10-30-2009

PET/CT SCAN SKULL BASE TO MIDTHIGH

Findings: Diffuse inhomogeneities are seen throughout osseous structures on the mapping CT. There are some frankly lytic areas such as the right acetabulum.  Other areas appear sclerotic.  There is an L3 compression fracture deformity.  There is diffuse increased metabolic activity throughout the osseous structures on the PET portion of the examination.  This involves axial and appendicular skeletal structures. CT and PET findings together indicate the presence of diffuse osseous malignancy.

Two metabolically active right breast masses are identified.  There is a 9 X 12 mm of nodule in the upper outer quadrant of the right breast seen on image 89.  Peak SUV measures 2.2.  In the deep right breast just above the nipple line, there is a 14 X 15 mm mass seen on image 99 which shows a peak SUV of 5.0.  no metabolically active axillary nodes are seen.  Metabolic activity in the thorax and neck is physiologic.  No pulmonary nodules are seen in the mapping CT.

A 16 X 16 mm pancreatic node is seen in the abdomen on image 136.  This is associated with elevated metabolic activity.  Peak SUV measures 5.3.  No other metabolically active or enlarged nodes are seen in the abdomen or pelvis.  Increased metabolic activity is seen in the right pelvis that appears to be associated with the right ovary.  There does not appear to be an ovarian mass.  This may be physiologic in etiology.  Metabolic activity throughout the remainder of the abdomen and pelvis is physiologic.