Table 1
Patient characteristics
| Physical | Examination | Blood examination | X ray | CT scan abdomen with contrast | Whole body PET/CT | |
|---|---|---|---|---|---|---|
| CT | PET | |||||
| General | Icterus | |||||
| Subcutaneous tissue | 2 nodules in the anterior abdominal wall | No lesions noted | 1.4 cm subcutaneous nodule in the anterior abdominal wall | Hypermetabolic focus in the subcutaneous tissue of the anterior abdominal wall | ||
| Nodes | None | No lesions noted | Enlarged para aortic lymph nodes on the left side | Hypermetabolic focus in the upper abdomen | ||
| Lungs | No abnormalities noted | Pleural effusion of right lung base. No nodules | Pleural effusion right lung base and calcified hilar nodes | Two small 3 mm nodules in the right upper lobe. Right pleural effusion | No foci noted | |
| Liver | Enlarged | High bilirubin, AST, ALT, alkaline phosphatase, GGT | Enlarged. 2 areas of low attenuation in the anterior aspect of the right lobe | Low attenuation lesion >20 cm in greatest diameter in the right lobe with calcification seen posteriorly. Numerous low attenuation lesions throughout both lobes of the liver | Enlarged. Large hypermetabolic focus in the right lobe with mass effect. Numerous hypermetabolic foci throughout remainder of liver. | |
| Kidney | 8 mm cyst midpole and 2 cm cyst upper pole of left kidney | Large right renal cyst. Additional smaller cysts | Photopenic defect due to large right renal cyst | |||
| Bone | No lesions noted | No lesions noted | Hypermetabolic foci in the right skull base, left scapula, left humerus, sternum, multiple bilateral ribs, thoracic and lumbosacral spine, pelvis, and bilateral femurs | |||
