case_images: PMC11068453_01
case_images: A hypermetabolic heterogeneous soft tissue mass at the left carotid bifurcation demonstrates SUV max of 7.1. This lesion is consistent with the given history of biopsy-proven paraganglioma. Multiple hypermetabolic left cervical lymph nodes are also seen (SUV max of 16.1).
case_images: CRIONM2024-2025115.001.jpg
case_images: PMC11068453_01_CRIONM2024-2025115.001.jpg
case_images: fig1
case_images: The PET scan showed intense fluorine-18-labeled fluorodeoxyglucose (18F-FDG) uptake in the neck lesion and lymph nodes (Figure 1).
case_images: Increased uptake seen in the left L4 pedicle measuring 1.8 cm x 1.2 cm demonstrates SUV max of 6.8. This lesion is consistent with biopsy-proven osseous metastatic disease.
case_images: CRIONM2024-2025115.002.jpg
case_images: PMC11068453_01_CRIONM2024-2025115.002.jpg
case_images: fig2
case_images: There was also increased 18F-FDG uptake within the L4 vertebral pedicle, consistent with metastatic disease (Figure 2).