Abstract:
RATIONALE:F-fluorodeoxyglucose positron emission tomography/computed tomography (F-18 FDG PET/CT) has an important role in the diagnosis of various malignancies. However, F-18 FDG can also exhibit intense accumulation in tissues in inflammatory conditions such as active tuberculosis (TB) and sarcoidosis. PATIENT CONCERNS:We report a case of a 52-year-old female with irritable cough. CT showed a lung mass with multiple bilateral lung nodules, and sarcoidosis was suspected. F-18 FDG PET/CT was undertaken for the diagnosis and showed intense uptake of FDG in the mass in the lower lobe of the right lung, multiple lymph nodes, liver, and spleen. The maximum standardized uptake value of F-18 FDG was 43.58. This pattern of involvement most likely represents lymphomatous involvement. DIAGNOSES:Histopathology suggested tubercular involvement. INTERVENTION AND OUTCOMES:The patient received anti-TB treatment and recovered. LESSONS:Abovementioned extent and distribution of F-18 FDG in tubercular lesion is relatively rare, thus, one must be observant and aware with regards to TB being a strong mimic of lymphoma in endemic regions.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Hou S,Shen J,Tan Jdoi
10.1097/MD.0000000000007248subject
Has Abstractpub_date
2017-07-01 00:00:00pages
e7248issue
29eissn
0025-7974issn
1536-5964pii
00005792-201707210-00005journal_volume
96pub_type
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