case_images: PMC11263774_01
case_images: Coronal section (A) CT and (B) fused FDG PET CT images showing intense FDG uptake (SUVMax: 6.1) along the prosthetic mitral valve
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case_images: PMC11263774_01_aojnmb-02-161-g001.jpg
case_images: F1
case_images: Due to persistent fever, he underwent a whole-body FDG PET CT scan, which revealed increased FDG uptake in the prosthetic mitral valve (SUVMax: 6.1), suggesting an active infection (Figure 1).
case_images: (A) Saggital and (B) Coronal section CT and fused FDG PET CT (left to right) images showing abnormal increased FDG uptake (SUVMax: 10.1) in aortic wall aneurysm in relation to the EVAR stent
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case_images: PMC11263774_01_aojnmb-02-161-g002.jpg
case_images: F2
case_images: The scan revealed significantly increased FDG uptake (SUVMax: 10.1) at the location of the damaged aortic wall, in connection with the endovascular stent (Figure 2).
case_images: Coronal section (A) CT and (B) fused FDG PET CT images showing focal abnormal increased FDG uptake (SUVMax: 4.5) along the RCA stent
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case_images: PMC11263774_01_aojnmb-02-161-g003.jpg
case_images: F3
case_images: It showed focal FDG uptake along the RCA stent (SUVMax: 4.5) (Figure 3) with diffuse minimal FDG uptake (SUVMax: 2.6) in moderate pericardial effusion.
case_images: Transaxial CT and Fused FDG PET CT images (left to right); (A) showing abnormal increased FDG uptake (SUVMax: 3.5) along the LAD stent along with bilateral pleural effusion and mild pericardial effusion. Follow-up FDG PET CT (B) showing significant reduction in intenstiy & extent of FDG uptake along the LAD stent along with near complete resolution of pleural and pericardial effusion
case_images: aojnmb-02-161-g004.jpg
case_images: PMC11263774_01_aojnmb-02-161-g004.jpg
case_images: F4
case_images:  Regional FDG PET CT (done 15 days after angioplasty) showed linear FDG uptake (SUVMax: 3.5) along the coronary stent (Figure 4A) suggesting the possibility of a low-grade infection. A follow up FDG PET was done after 3 weeks, which showed significant reduction in intensity & extent of FDG uptake (Figure 4B). 
case_images: Coronal section (A) CT , (B) fused FDG PET CT and (C) Maximum Intensity Projection (MIP) images showing abnormal increased FDG uptake (SUVMax: 6.7) around the pacing box extending to the proximal lead wire
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case_images: PMC11263774_01_aojnmb-02-161-g005.jpg
case_images: F5
case_images: The scan showed intense FDG uptake (SUVMax: 6.7) at the implantation site in anterior chest wall which was also extending into the proximal part of lead wires (Figure 5).
case_images: Saggital section CT and fused FDG PET CT images (left to right); (A) showing abnormal increased FDG uptake (SUVMax: 8.6) in hypodense collection around the pacing box with extension of the FDG uptake along the adjacent leads. (B) Follow-up FDG PET CT done 4 months later (post explantation of device) showing no abnormal increased FDG uptake at post-surgical site
case_images: aojnmb-02-161-g006.jpg
case_images: PMC11263774_01_aojnmb-02-161-g006.jpg
case_images: F6
case_images: Suspecting infection, a FDG PET CT was requested which showed intense FDG uptake (SUVMax: 8.6) in hypo dense collection around the pacing box with extension of the FDG uptake along the adjacent leads (Figure 6A).  Three months later a follow up FDG PET CT was done which showed significant reduction in extent & intensity of metabolic activity in left anterior chest wall (Figure 6B).