Head and Neck Cancer - 60-year-old male with soft palate oropharyngeal carcinoma

History
60-year-old male with a history of soft palate oropharyngeal carcinoma who presents now for restaging.

PET Findings
There is increased trace accumulation in the region of the soft palate, which is suspicious for local recurrence. Normal tracer accumulation can be seen in this region but this differentiation should be readily made by direct visualization. There is metastatic disease with hypermetabolic activity noted in the left cervical lymph nodes. At least three nodes are identified in the left neck extending to just above the superclavicular region. In addition, there is hypermetabolic activity in the left axilla, which suggests metastatic disease. The pulmonary parenchyma is normal. There are no other foci of hypermetabolism to suggest distant metastatic disease other than previously described.

Dosage
13.1 mCi FDG

Imaging
CTI REVEAL XL

Courtesy of
Thompson Cancer Survival Center