Focal Liver 18F-FDG Uptake in a Patient Who Underwent Thrombolysis for Brachiocephalic and Subclavian Thrombosis: A Potential Pitfall.

Abstract:

ABSTRACT:A 19-year-old woman presented with a primary mediastinal B-cell lymphoma invading the superior vena cava with associated thrombosis of the left brachiocephalic and subclavian vein. She underwent thrombolysis followed by chemotherapy. The midtreatment 18F-FDG PET/CT demonstrated important regression of the primary mediastinal B-cell lymphoma, but showed intense focal hepatic uptake in segment IV, without a corresponding lesion on ultrasonography, non-contrast-enhanced low-dose CT, and MRI. This focal uptake disappeared on a subsequent 18F-FDG PET/CT study when the radiotracer was injected in the foot, suggesting an anomalous venous return pathway that persisted despite thrombolysis.

journal_name

Clin Nucl Med

authors

Huot Daneault A,Le Blanc R,Voyer N,Turcotte É,Rousseau E

doi

10.1097/RLU.0000000000003381

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

e173-e175

issue

3

eissn

0363-9762

issn

1536-0229

pii

00003072-202103000-00037

journal_volume

46

pub_type

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