PET Scan follow up

[kri312]

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.

[TutuMa]

Thinking good thoughts & prayers. It’s horrible to wait to speak to MD for days. You could always send a msg asking if they’ve seen results 🤭. 🤗

[Jenniferroseolson]

I am sorry to hear it. Waiting until tuesday is awful. I don’t know if MD would discuss over the phone, but I would rather have a general phone call if it were me and more details Tuesday about treatment plan proposal. Praying for you

[Denzie Moderator Volunteer]

Tomorrow will not come soon enough. Your oncologist will have reviewed the PET and will make his own call about the mild uptake. Please let us know what you learn.

[kri312 in reply to Denzie]

I have already mentally prepared

Myself for a recurrence and more

Surgery.

[Jando2021]

Praying for you 🙏 the waiting is so awful 😢

As you know staying strong and positive really helps 💪