IMAGES THAT TEACH The role of FDG uptake intensity in pericardial effusion a,b Yiyan Liu, MD, PhD Nuclear Medicine Service, Department of Radiology, New Jersey Medical School, Rutgers University, Newark, NJ Nuclear Medicine Service, Department of Radiology, University Hospital, Newark, NJ Received Jul 14, 2016; accepted Jul 14, 2016 doi:10.1007/s12350-016-0612-2 INTRODUCTION In all the cases, SUV was determined by drawing the region of interest over the pericardial ﬂuid rather Pericardial effusion (PE) is a relatively common than pericardium. clinical condition in oncologic patients. The differential diagnosis between benign and malignant PE is difﬁcult without pericardial ﬂuid analysis/pericardial biopsy. DISCUSSION The following case presentations demonstrate the role of In most of the oncologic patients, PE is secondary to FDG uptake in the differential diagnosis. a benign etiology such as chemotherapy, chest radiation, pericarditis, or idiopathic. FDG avid PE is not a common ﬁnding on PET/CT imaging. Unlike anatomic CASE SUMMARY imaging modalities, FDG PET/CT has the unique ability Patient 1 was a 55-year-old man with a newly to identify hypermetabolic tissue including ﬂuid in the diagnosed adenocarcinoma of the right lung. FDG absence of obvious abnormality of the structure. There is PET/CT was obtained for staging, which showed no or
Journal of Nuclear Cardiology – Springer Journals
Published: Jul 21, 2016
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