Victor H. Gerbaudo, Ph. D. and S. Ted Treves, M.D.

Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115

History

57 year old male with diffuse bony metastases with an unknown primary

Image Findings

Foci of moderately increased FDG metabolism are noted as follows:

1. Left Helium

2. Two foci involving two separate vertebrae in the upper to mid thoracic spine

3. Right axilla

4. Medial right supraclavicular region

5. Right lateral aspect of the L-5 vertebral body and

6. Intense, focal uptake in the proximal right colon. While physiologic uptake in the bowel is an expected finding, the focality of uptake is suspicious malignancy involving the proximal large bowel

Process

60 minute post I.V. of 9.7 mCi of FDG

Comments

Pathology:

Undifferentiated adenocarcinoma of colonic origin

Product Information

All studies were performed with the use of e.cam duet