bilgi

Patient name and surname: Birth of date: 14/08/1953

Date and hour: 28/07/2011 08:40
Clinical information and diagnoses: HCC
Induction: Diagnoses
Examination request reason : HCC suspicious lesions in Liver

IMAGING PROTOCOL: the patient's blood glucose was at level of 130 mg / dl when began to
display uptake period by injection of mCi F-18 FDG at 13:03 PM and the patient has been left to
be rested in a quiet medium without chewing or speaking until time of imaging,
Following the uptake period, then standard PET imaging (Positron emission tomography) had
included for the whole body until the vertexupper thigh region.

For better evaluation of Stomach and intestinal segments by PET imaging (Positron emission
tomography), the patient before and after uptake period of FDG material, had been given 50 ml
of contrast material (Telebrix) orally.

After the images obtained with CT (computerized tomography), attenuation correction in Trans
axial, coronal, and sagittal planes and also MIP (maximum intensity projection) images were
evaluated

Symptoms:

In the Thoracic sections of both sides there was a significant observation of uptake FDG, and
which is primarily thought to be as reactive of the lymph nodes, and especially the largest one
was of 10x9 mm in diameter in the right axillary region .

In the Bilateral Peridiaphragmatic locations in the right side there was minimal FDG uptake had
been observed, and the biggest lymph nodes was on the right side and it was about 14x 10mm
diameter (reactive).
In the abdominal sections, perihepatic peritoneal location there was frugal significant of FDG
had been noted and also peritoneal fluid was at minimal level. In the right lobe of the liver at
segment 5, there was no significant of FDG uptake, and hypodense lesion was observed inside
it which is approximately 13x 10 mm in diameter

In abdominal in recent studies by MRI (magnetic resonance imaging) which mentioned about
observing lesion in the right lobe of the liver at segment 7, but in our current studies we didnt
distinguish something like that.

Pathological lesions were not detected on FDG uptake in the liver.

Gallbladder appearance is Hydropic n shape.

In the Mesenteric adipose tissue in the pelvic region show no significant FDG uptake had been
observed, and multiple millimeter -sized paracaval lymph node was observed
Distribution of FDG was limited to physiological imaging field

Result

Whole body examined by FDG-PET and no pathological hypermetabolic focal detected within
. In the right lobe of the liver at segment 5, there was no significant about FDG uptake, and
hypodense lesion was observed inside it
Show significant FDG uptake in the right lobe liver hypodense lesion in segment 5 , Mesenteric
adipose tissue in the pelvic region show no significant FDG uptake had been observed, and
multiple millimeter -sized paracaval lymph node was observed

Note: well-differentiated HCC are rare tumors, such as the increase in metabolic activity may
not be observed at all times

Ass. Dr. Fuat Yapar