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Patient: 26 year old |
History: 26 year old patient: with repeated chest infections, status post multiple regimens of antibiotics. |
Image Size:[small][as-submitted]
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Findings: PET-CT:There is a lobulated soft tissue mass in the right hilum, measuring 4 x 3.7 cm, causing effacement of the bronchus intermedius and right lower lobe bronchus. There are specks of calcification within the lesion. The mass shows mild to moderately increased FDG uptake with maximum SUV of 4. No other focal area of FDG uptake is identified. No distal atelectasis or consolidation is seen. Radiograph of Chest: Right hilar and suprahilar mass is seen with some mild right upper lobe volume loss. There is no pneumothorax or pneumomediastinum. Left lung is clear. |
DDx: 1. Hamartoma. 2. Granulomatous disease. 3. Mucoepidermoid carcinoma. 4. Foreign body, in a correct clinical setting. |
Diagnosis: Endobronchial carcinoid tumor in the bronchus intermedius. |
References: 1. Pre-operative PET scanning for lung carcinoid tumors predicts tumor behavior and patient survival.Daniel DeArmond1, Ali Mahtabifard1, Jessica Lee1, Alan Waxman1, Alberto Marchevsky1, Clark Fuller1 and Robert McKenna1 1 Imaging, Nuclear Medicine, Cedars-Sinai Medical Center, Los Angeles, California . J Nucl Med. 2007; 48 (Supplement 2):82P 2. http://emedicine.medscape.com/article/357921-imaging. Lung, Carcinoid Imaging 3.http://www.medscape.com/viewarticle/452492_3.Typical bronchial carcinoid tumor:Discussion. 4.Irfan Kayani1, Brendon G. Conry1, Ashley M. Groves1, Thida Win2, John Dickson1, Martyn Caplin3 and Jamshed B. Bomanji1, Clinical Investigation,A Comparison of 68Ga-DOTATATE and 18F-FDG PET/CT in Pulmonary Neuroendocrine Tumors. Journal of Nuclear Medicine Vol. 50 No. 12 1927-1932. |
Comments: No comments posted. |
Additional Details:
Case Number: 295278Owner(s): Farrokh Dehdashti and Dhanashree RajderkarLast Updated: 12-08-2011 The reader is fully responsible for confirming the accuracy of this content. |