Case Author(s): Charles Pringle / Barry Siegel , 7/7/95 . Rating: #D3, #Q4

Diagnosis: Metastatic esophogeal adenocarcinoma

Brief history:

Dysphagia and refux.


Anterior and posterior reprojection images.

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Full history/Diagnosis is available below

Diagnosis: Metastatic esophogeal adenocarcinoma

Full history:

44-year old man with newly diagnosed esophageal carcinoma. This examination was requested for staging.


Increased FDG accumulation within the mid to distal esophagus is present and correlates with the patient's primary esophageal carcinoma. There are multiple focal areas of increased FDG accumulation within left supraclavicular, anterior mediastinal, right paratracheal, left hilar, gastrohepatic-ligament, and retroperitoneal lymph nodes. There also are several areas of increased FDG accumulation within the soft tissues near the tip of the right scapula, the right paravertebral region at the L2 level, and bilaterally in the gluteal region at the level of the hips.


Upper GI series obtained on 6-16-95 revealed a fixed lobulated esophageal mass extending from approximately the level of the carina to the gastroesophageal junction. CT scan obtained 6-29-95 again demonstrated this esophageal mass and additionally lymphadenopathy involving the pretracheal, right paratracheal, aortopulmonary window, subcarinal, and pericardial regions and, also most likely, the infrahilar region. These areas correspond to the patient's PET abnormalities. No definite abnormal CT correlates were identified for the gastrohepatic or retroperitoneal lymph nodes or for the soft tissue lesions identified on the PET study in the region of the right scapular tip, right paravertebral region, and bilateral gluteal regions.

ACR Codes and Keywords:

References and General Discussion of PET Tumor Imaging Studies (Anatomic field:Gasterointestinal System, Category:Neoplasm, Neoplastic-like condition)

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Case number: pt001

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