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Hypermetabolic foci in cervical transverse process

18F-FDG PET/CT

F 75
Smoker for 60 years! Pain left arm.
Chest x-ray and CT: Apical LUL mass along with significant mediastinal lymphadenopathy.
Transbronchial biopsy: SCC
Indication PET: Initial staging

Hypermetabolic foci on PET corresponding to lytic lesion in left transverse process C5 on CT consistent with bone metastasis

Teaching point:
Degenerativ facet joint disease may show  very intense FDG uptake and may be hard to differentiate from malignancy when asymmetric (case xx). In this patient did the focus correspond to a osteolytic bone metastasis from NSCLC.
 

 

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Smoker: 1 pack per day for 60 years

Hypermetabolic foci in cervical transverse process ,
Hypermetabolic foci in cervical transverse process ,
Hypermetabolic foci in cervical transverse process ,