Enlarged and vividly FDG-enhancing seminal vesicles and appendix. FDG-avid infra- and supradiaphragmal lymphadenopathy is also noted, as well as predominantly nodular pulmonary involvement. Bilateral mild pleural effusion.
No evidence of hepatic, splenic or bone marrow involvement.
Incidental note is made of a gallstone in infundibulum, duodenal diverticulum, simple hepatic and renal cysts, a sub-cm lesion in the left hepatic lobe, mostly resembling hemangioma, and an umbilical hernia.
Conclusion
The overall imaging appearances with hyper metabolic involvement of nodal and extra nodal sites and the homogenously contrast-enhancing, but neither invasive nor vascular lesions are highly suggestive of malignant lymphoma.