Results from test are in and unfortunatley don't see my MD until Tuesday - looks like they are suggesting recurrence :(. Just when I hit the magic 5 year mark too.....
Study Result
Impression
Increased thickening and nodularity along the anteromedial aspect of the suture line since 2019 with heterogeneous mild FDG uptake, concerning for recurrent disease. Consider tissue sampling versus close interval follow-up to ensure stability.
No FDG avid disease elsewhere in the body.
Electronically Signed By: Volkan Beylergil on May 18, 2023 11:47 AM
I, Volkan Beylergil, have personally reviewed this report and
concur with its findings and conclusions, as affirmed by my electronic signature.
Narrative
EXAMINATION:
PET CT SKULL BASE TO MID THIGH
CLINICAL INFORMATION:
History of right lower lobectomy and right upper lobe wedge resection with pathology showing invasive adenocarcinoma. Monitoring of malignancy following completion of therapy.
TECHNIQUE:
Blood glucose pre-injection measured 99 mg/dL. Approximately 50 minutes after intravenous administration of 8.9 millicuries of F18-FDG into the left antecubital fossa, a CT attenuation-corrected PET scan from the canthomeatal line to the mid-thigh was acquired. Multiplanar PET-CT fusion images were constructed. SUV will be reported as maximum value.
Contrast: Oral Readi-Cat.
COMPARISON:
CT chest 05/12/2023.
FINDINGS:
HEAD and NECK:
Brain: The brain is only partially included in the field of view. The visualized portion is unremarkable.
Lymph nodes: There is no pathologically enlarged lymph node.
Paranasal sinuses: Imaged paranasal sinuses are normally aerated.
Soft tissue: Symmetric FDG uptake in bilateral supraclavicular and paraspinal regions, consistent with brown fat activation.
Vascular structures: The imaged vertebrobasilar and carotid systems are grossly normal.
CHEST:
Lungs: Postsurgical changes status post right lower lobectomy and right upper lobe wedge resection. Thickening and nodularity along the suture line, increased since 2019, with heterogeneous mild radiotracer uptake most predominant snteromedially with SUV max 2 (3:83). Adjacent ground-glass changes are stable compared to the most recent CT(4:82).
Airway: The trachea and central bronchi are patent.
Mediastinum, hila and lymph nodes: No FDG avid mediastinal node.
Heart, vascular structures and pericardium: The heart, major vessels and pericardium are normal.
Soft tissue: The other soft tissues / organs do not demonstrate abnormal radiotracer uptake.
ABDOMEN / PELVIS:
Lymph nodes: There is no pathologically enlarged lymph node.
Soft tissue: The other soft tissues / organs do not demonstrate abnormal radiotracer uptake.
Vascular structures: The vasculature is grossly normal.
MUSCULOSKELETAL:
No abnormal avid lytic / sclerotic osseous finding is seen. Multilevel degenerative changes of the spine. Heterogeneous radiotracer uptake along the lateral and anterior thoracic vertebral bodies as well as along the supraclavicular musculature is consistent with brown fat activation.
Pet scan
PET Scan tomorrow
Pet scan results. 
Follow up 
Beepers7 follow up
