FINDINGS: Intensely increased uptake (maximum SUV=23.9) is seen in the mid esophagus. Intensely increased uptake (maximum SUV=17.4) is seen in 3 x 4 cm upper mediastinal (tracheoesophageal) nodal mass. The right supraclavicular, right lower paratracheal, and subcarinal lymph nodes also demonstrate intensely increased uptake (maximum SUV=11.1). No other significant abnormality is seen.
CONCLUSION: Intensely hypermetabolic mid esophageal mass, consistent with biopsy-proven malignancy. Intensely hypermetabolic left upper paratracheal, right lower para-tracheal, subcarinal, and right supraclavicular lymph nodes, suspicious of metastases.