Paradoxical vocal cord PET uptake

Case contributed by Dr Yune Kwong

Presentation

PET-CT for staging of lung tumour.

Patient Data

Age: 65
Gender: Male
Modality: Nuclear medicine

Large lung tumour adjacent to the aortic arch, extending to the aorto-pulmonary window and the expected location of the left recurrent laryngeal nerve. On plain CT, there are features of left sided vocal cord palsy, with paramedian position of the cord and enlarged laryngeal ventricle (arrow). No increased PET uptake is seen in the paralysed cord, consistent with absence of tumour there. There is increased PET uptake in the normal cord (arrow), secondary to increased physiological activity as a compensatory mechanism.

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Case Information

rID: 30765
Case created: 2nd Sep 2014
Last edited: 9th Jan 2016
Systems: Chest, Head & Neck
Inclusion in quiz mode: Included

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