Good news. The bad boy tumors are half as active and the small ones are “resolved”. YES! Now the question is… good enough for a transplant? Stay tuned.
EXAM: PET WHOLE BODY W/CT W/O CONTRAST
HEAD: Normal cranial activity. (ed: yeah, right)
NECK: Moderate improvement in size and markedly improved hypermetabolic activity of previously described left cervical level V & VI adenopathy with maximum SUV now 2.5 (previously 6.4). Normal activity in seen in the salivary glands, tonsils, tongue, and laryngeal muscles.
CHEST: Marked improvement in superior mediastinal hypermetabolic adenopathy with conglomerate nodal mass persisting but now demonstrating maximum SUV of 4.7 (previously 8.9). Expected degrees of blood pool, vascular wall and cardiac activity are seen. Resolution of previously described prevascular mediastinal and diaphragmatic/pericardial hypermetaboic lymph nodes.
ABDOMEN: Normal heterogeneous liver activity is present. There is expected activity noted within the kidneys, ureters and bowel.
PELVIS: Physiologic expected bowel and bladder activity is noted. New intense left pelvic wall focus appears related to an intraluminal distal ureteral bolus of excreted FDG agent.
BONES/EXTREMIIES: Normal bone marrow activity is noted.
IMPRESSION: Marked improved cervical and thoracic disease, as described above.
I’ll send 10 paper cranes to the first person who can explain the pelvis results.