case_images: PMC10171754_01
case_images: (a-i) FDG PET/CT (without intravenous contrast) scan (a) MIP image showing areas of hypermetabolism in the neck, chest, splenomegaly, and enhanced marrow uptake (b and c) Axial images showing intense FDG uptake in nodes and muscles (d and e) hypermetabolic skin thickening anterior to manubrium sterni (f and g) enlarged spleen with diffusely increased FDG uptake (h and i) Focal marrow uptake of FDG in right sacral ala. FDG PET/CT: Fludeoxyglucose positron emission tomography/computed tomography presentation, MIP: Maximum intensity projection
case_images: IJNM-38-65-g001.jpg
case_images: PMC10171754_01_IJNM-38-65-g001.jpg
case_images: F1
case_images: FDG PET/CT revealed hypermetabolic enlarged lymph nodes in bilateral neck (largest in left supraclavicular (47 mm x 36 mm SUVmax 10), axillae (right 22 mm x 34 mm SUVmax 11.4), and mediastinum (largest right paratracheal 44 mm x 30 mm SUVmax 10) [Figure 1a-i]. There were also multiple hypermetabolic deposits in muscles of the neck, shoulders, and both pectoral regions and hypermetabolic skin lesions over the right anterolateral chest wall and sternal (SUVmax 10.5) regions [Figure 1a-i].