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A 51-year-old woman who had a history of partial nephrectomy underwent an 18 F-FDG PET/CT image for a routine health checkup. Focal intense FDG avidity without any anatomical correlation on CT was detected in the lung. On the delayed image after 20 minutes, the focal activity migrated to a more peripheral portion. An iatrogenic microembolus is a rare but crucial false-positive finding that nuclear physicians should be aware of. Our case emphasizes the importance of meticulous FDG injection and cautious interpretation. In addition, delayed PET/CT imaging through wet reading can aid in diagnosing and help prevent unnecessary investigations.
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http://dx.doi.org/10.1097/RLU.0000000000005020 | DOI Listing |
Clin Nucl Med
February 2024
From the Department of Nuclear Medicine, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Cyclotron Research Center, Molecular Imaging and Therapeutic Medicine Research Center, Jeonbuk National University Me
A 51-year-old woman who had a history of partial nephrectomy underwent an 18 F-FDG PET/CT image for a routine health checkup. Focal intense FDG avidity without any anatomical correlation on CT was detected in the lung. On the delayed image after 20 minutes, the focal activity migrated to a more peripheral portion.
View Article and Find Full Text PDFClin Nucl Med
March 2015
From the Department of Nuclear Medicine, Kocaeli University School of Medicine, Kocaeli, Turkey.
Focal 18F-FDG pulmonary uptake on PET without corresponding abnormality on CT is an incidental and rare finding. This artifact is associated with iatrogenic FDG microembolus as a result of vascular endothelium damage during injection. We present a pulmonary FDG microembolus in a patient evaluated for suspicion of gallbladder cancer not in early (standard 1-hour imaging after FDG injection) but in delayed image.
View Article and Find Full Text PDFBiomed Imaging Interv J
July 2011
Nuclear Imaging Centre, Faculty of Medicine, University Putra Malaysia.
An incidental finding of an intense focus of (18)F-Fluorodeoxyglucose (FDG) pulmonary uptake on positron emission tomography (PET) without detectable lesions on computed tomography (CT) is highly suggestive of FDG microembolus. Its microscopic nature means it is undetectable on CT. It is an artefact attributable to (18)F-FDG-tracer contamination at the injection site.
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