Patient repositioning reveals a malignant pleura effusion initially mistaken as a bone metastasis on (18)FDG PET/CT Journal Article


Authors: Kirchner, J.; Riedl, C. C.; Ulaner, G. A.
Article Title: Patient repositioning reveals a malignant pleura effusion initially mistaken as a bone metastasis on (18)FDG PET/CT
Abstract: A 70-year-old woman with breast cancer underwent F-FDG PET/CT for restaging. An FDG-avid focus corresponding to a rib on CT images was identified and interpreted as suggestive of an osseous metastasis. A PET/CT-guided biopsy was planned with the patient in prone position. Prone images demonstrated the FDG focus "moved" to the anterior chest and corresponding to pleural fluid. The diagnosis was altered from osseous metastases to pleural malignancy, and the bone biopsy was not performed. This case not only emphasizes the sensitivity of PET in the detection of malignancy, but also highlights the difficulty localizing small, mobile, FDG-avid foci.
Journal Title: Clinical Nuclear Medicine
Volume: 44
Issue: 12
ISSN: 0363-9762
Publisher: Lippincott Williams & Wilkins  
Date Published: 2019-12-01
Start Page: 969
End Page: 970
Language: English
DOI: 10.1097/rlu.0000000000002804
PUBMED: 31689279
PROVIDER: scopus
DOI/URL:
Notes: Article -- This is one of several "interesting images" features that the journal published in this issue -- Export Date: 2 December 2019 -- Source: Scopus
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MSK Authors
  1. Christopher Riedl
    59 Riedl
  2. Gary Ulaner
    144 Ulaner