主任你好你幫我看看我媽咪的正子攝影報告，我看不懂謝謝。 正子掃瞄 【 Indication 】 The 49-year-old woman is a case of right middle lung cancer stage IA1 pT1aNx sp wedge resection. FDG-PETCT study was arranged for staging. ˉ 【 Procedure 】 Fasting ＞4 hrs blood sugar 120 mgdl Radiotracer FDG 305 MBq IV followed by rest for 1hr Scan protocol low dose CT C- and PET 3D TOF from head to toe ˉ 【 Content 】 1. There were mildly increased FDG uptake in the right middle lung SUVmax1.1 and right chest wall SUVmax1.7 probably post-operative change. 2. There was a focal area of mildly increased FDG uptake in the right pulmonary hilar region SUVmax2.5 probably reactive LN. 3. There was a focal area of increased FDG uptake in the right cervical para-tracheal region or right thyroid gland SUVmax3.1. 4. There were diffuse mildly increased FDG uptake in the bone marrow of axial skeleton and bilateral humeral and femoral shaftprobably increased bone marrow activity secondary to chronic anemia. 5. Physiological FDG uptake and accumulation in the brain tonsils salivary glands heart liver spleen GI tracts GU tracts. 6. No definite abnormal FDG uptake can be demonstrated elsewhere. ˉ 【 Impression 】 1. Compatible with right middle lung cancer sp operation. 2. A FDG-avid lesion in right cervical para-tracheal region or right thyroid gland either thyroid nodule or others. Suggest clinical and thyroid echo correlation.
家／48歲／女 0 應該以他的主治醫師說明為準， 1. There were mildly increased FDG uptake in the right middle lung SUVmax1.1 and right chest wall SUVmax1.7 probably post-operative change. 右中肺葉有術後反應 2. There was a focal area of mildly increased FDG uptake in the right pulmonary hilar region SUVmax2.5 probably reactive LN. 右肺門淋巴結是良性發炎反應的變化 3. There was a focal area of increased FDG uptake in the right cervical para-tracheal region or right thyroid gland SUVmax3.1. 右側頸部的顯影點在氣管旁邊，請臨床上檢查或以甲狀腺超音波檢查確認是否有問題 其他沒問題 真正的問題在第3點，請教原主治醫師如何處理 祝平安 桃醫   陳斯榮