[ 會員# ] tse
PET scan report
病患者女 - 65歲
醫生你好，家人為三陰性乳癌，去年底手術切去右胸及右手三分之二淋巴。以下為Pet Scan 報告，請問是否有異樣？
Clinical information: triple negative ca breast R side; post-op septicemia on dose dense chemo. So chemo stopped, for adj RT. For FU PET/CT 4-6 months afterward to monitor disease.
Pet Scan report:
F18-FDG was injected intravenously.
PET imaging from head to upper thigh was taken after 60 minutes.
Plain CT for attenuation correction and localization.
PET/CT findings:
Blood glucose level 5 mmol/l at the time of FDG injection.
No gross hypermetabolic brain mass. The ventricles are not dilated. No midline shift.
NP, tonsils, para-nasal nisuses and larynx are unremarkable.
No enlarged hypermetabolic cervical lymphadenopathy seen.
Satus post right modified radical mastectomy with mild post-operative FDG activity over right anterior chest wall and axilla.
No gross FDG-avid left breast mass seen.
Small left axillary nodes with mild FDG activity (6mm, sUVmax1.7), likely reactive in nature.
Mildly hypermetabolic streaky opacity at right lung apex (lm94, 20mm, SUV max 2.1).
Mildly hypermetabolic ground glass opacities at anterior right lung are seen, could be due to post-RT changes.
mild bronchiectasis over medical RML noted.
No enlarged hypermetabolic mediastinal lymphadenopathy.
No pleura or pericardial effusion.
No hypermetabolic mass over adrenals, liver, spleen, pancreas and kidneys.
Gallstone noted.
No enlarged hypermetabolic lymphadenopathy seen in abdomen and pelvis.
The bowel uptake is unremarkable.
No abnormal FDG focus over uterus.
No ascites.
No hypermetabolic bone secondary is seen within the scanning range.
(lymph nodes are measured in short axis)
Impression:
1. Status post right modified radical mastectomy.
2. Streaky opacity at right lung apex (lm94, 20mm, SUVmax2.1) with non-specific mild FDG activity.
3. No other gross FDG-aid metastasis is detected.
醫生你好，家人為三陰性乳癌，去年底手術切去右胸及右手三分之二淋巴。以下為Pet Scan 報告，請問是否有異樣？
Clinical information: triple negative ca breast R side; post-op septicemia on dose dense chemo. So chemo stopped, for adj RT. For FU PET/CT 4-6 months afterward to monitor disease.
Pet Scan report:
F18-FDG was injected intravenously.
PET imaging from head to upper thigh was taken after 60 minutes.
Plain CT for attenuation correction and localization.
PET/CT findings:
Blood glucose level 5 mmol/l at the time of FDG injection.
No gross hypermetabolic brain mass. The ventricles are not dilated. No midline shift.
NP, tonsils, para-nasal nisuses and larynx are unremarkable.
No enlarged hypermetabolic cervical lymphadenopathy seen.
Satus post right modified radical mastectomy with mild post-operative FDG activity over right anterior chest wall and axilla.
No gross FDG-avid left breast mass seen.
Small left axillary nodes with mild FDG activity (6mm, sUVmax1.7), likely reactive in nature.
Mildly hypermetabolic streaky opacity at right lung apex (lm94, 20mm, SUV max 2.1).
Mildly hypermetabolic ground glass opacities at anterior right lung are seen, could be due to post-RT changes.
mild bronchiectasis over medical RML noted.
No enlarged hypermetabolic mediastinal lymphadenopathy.
No pleura or pericardial effusion.
No hypermetabolic mass over adrenals, liver, spleen, pancreas and kidneys.
Gallstone noted.
No enlarged hypermetabolic lymphadenopathy seen in abdomen and pelvis.
The bowel uptake is unremarkable.
No abnormal FDG focus over uterus.
No ascites.
No hypermetabolic bone secondary is seen within the scanning range.
(lymph nodes are measured in short axis)
Impression:
1. Status post right modified radical mastectomy.
2. Streaky opacity at right lung apex (lm94, 20mm, SUVmax2.1) with non-specific mild FDG activity.
3. No other gross FDG-aid metastasis is detected.
潘智文醫生回覆: [ 11/29/2020 ]
根據文字報告，PET沒有大問題，但一般來說，醫生需要結合影像才可以作判斷，所以還是比較適合將整個報告向自己的醫生詳細詢問
kit : 肝癌擴散到肺
病患者男 - 37歲 在國內判斷為肝癌末期，擴散到肺！那麼我可以找那方面的專家 .......Sun : 胃良性腫瘤
病患者女 - 50歲 經常胃痛腹痛胸痛 ，在公院照胃鏡發現胃有2cm良性腫瘤，醫生說不用理會。 為什.......Chio Ian : 肝臟發現4.7cm*3.6cm 瘤
病患者女 - 57歲 請問因為一次腎結石的問題發現了肝有一個腫瘤約4.7*3.6cm 平時有腰痛同腹脹，.......siusuet : 不明原發位癌症
病患者男 - 75歲 5月頭發現頸兩側腫大，抽組織後醫生話係轉移癌細胞，唔係淋巴癌。之後做左正電子掃描,.......Yuki Shum : PD-L1測試
病患者男 - 71歲 醫生好 請問PD-L1 可以通過抽血作檢驗嗎？ 12/6 於公醫透過抽針方式確.......Nancy : 未分化胚胎肉瘤
病患者女 - 21歲 未分化胚胎肉瘤肝癌，己切除，是否要化療？.......meichak : 免疫聯合化療藥物效果
病患者女 - 68歲 患者接受了一次免疫聯合化療後CEA由16下降至7，痛症亦消除了，是否代表藥物有效，.......Maggie : 乳癌機會
病患者女 - 41歲 照了乳房超聲波,發現有粒瘤長滿血管,醫生建議抽針化驗, 想問乳癌機會大唔大呢？.......meichak : 肺癌4期壽命
病患者女 - 68歲 69歲女患者，非吸煙，非小細胞腺癌，沒基因突變，已有腦轉及骨轉，請問一般還有多久壽.......Candy : 用化療醫治較好?還是直接採用Pembrolizumab或Nivolumab作免疫治療較好?
病患者女 - 68歲 家人鼻咽癌四期,已擴散到肝,用化療醫治較好?還是直接採用Pembrolizumab.......
發出提問使用細則
致潘智文醫生 提問
即時提問 ?
