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Brain: FDG avid left basal ganglia enhancing space-occupying lesion SUVmax 10.9 and measures 5.2x4 cm. It's surrounded by vasogenic edema and mass effect.
Lungs:
- Increased FDG uptake by bilateral upper lobar and apical lower lobar small consolidative patches showing internal cavitations, associated with extensive tree-in-bud and nodular densities, and mosaic attenuation with hyperlucent areas, secondary to small airway involvement.
- Increased FDG uptake by retrocaval and posterior mediastinal nodes, with SUV max 3.5.
Abdomen and pelvis
- Adnexa: increased FDG uptake by bilateral adnexal lesions with SUVmax 9.9 in left side
- Peritoneum: increased FDG uptake by omental nodular thickening underneath the anterior abdominal wall, with SUVmax 7
Opinion:
- metabolically active pulmonary changes are highly suggestive of inflammatory process (active TB)
- metabolically active cerebral, bilateral adnexal solid lesions and omental thickening likely representing granulomatous (TB) spread