There is intense FDG activity associated supra and
infradiaphragmatic lymphadenopathy, mildly intense activity associated with
multiple hypodense lesions in the liver and spleen, and multiple intensely avid
lytic lesions scattered throughout the axial and appendicular skeleton.
There is a small focus of intense activity in the distal sigmoid colon, which
could reflect an underlying colonic neoplasm or a lymphoma deposit, it would
appear however to be too small to be the culprit primary lesion, although this
is not excluded. A right middle lobe nodule is non avid ?malignant
lesion or granuloma. There is also right hemithorax pleural disease, however no
pleural effusion. Axillary nodes would be the most easily targeted for
histological pathological correlation.
A left adrenal gland 12mm nodule is non avid in keeping with adenoma. There is
a large left inferior calyx calcified calculus and a 8mm calcified calculus
proximally in the left ureter within the renal pelvis. Uncomplicated
cholelithiasis. Non avid prostatomegaly.
There is a large intensely avid left thyroid lobe nodule, which may reflect a
hyperfunctioning nodule, primary thyroid malignancy or possibly metastatic in
nature.