Abdominal pain, previous CT revealed multiple enlarged lymph nodes, his physician suspected lymphoma.
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FDG avid left testicular mass with SUV max 14, the mass isn't seen by conventional CE-CT.
Increased FDG uptake by left supraclavicular node and multiple enlarged abdominal lymph seen at the para-aortic and left iliac lymph nodes, likely metastatic. (SUV max 30 at the left para-aortic nodes).
Increased FDG uptake (SUV max 4) by left upper lobe para cardiac small pulmonary nodule, metastatic.
PET-CT findings are impressive of metastatic left testicular primary cancer with metastatic pulmonary nodule, left supraclavicular and abdominal metastatic lymph nodes.
Testicular tumor was missed at the conventional CE-CT scan.