Lung Cancer - 61-year-old male with COPE

History
61-year-old male with COPE and fifty year smoking history, PET scan ordered for initial staging. The patient was diagnosed with moderately differentiated squamous cell carcinoma on bronchoscopy. This was felt to be unresectable initially. The patient and family desire resection.

PET Findings
There are two round lung masses adjacent to each other in the right upper lobe consistent with malignancy. The larger 1.5 cm mass is partially obscured by post obstructive atelectasis. In addition, there are two foci of hypermetabolic activity consistent with local metastatic disease in the mediastinum and hilum. One is located in the right super hilar region corresponding to soft tissue mass and a 2 cm right peritracheal lymphadenopathy. There is no abnormal mediastinal uptake to the left of the midline. The left lung is clear. Abdomen, pelvis, and neck are normal. There is no osseous uptake suspicious for metastatic disease. There is diffuse mild increased uptake along the right lateral chest wall. Appearance is not suspicious for malignancy. This may be post traumatic.

Dosage
14.0 mCi FDG

Imaging
CTI REVEAL XL

Courtesy of
Thompson Cancer Survival Center