Impression
1. Bilateral dependent progressive opacities suggest aspiration pneumonia.
2. More focal 1.1 m nodular component in the right lower lobe suspicious for neoplasm.
3. 6 mm hypermetabolic nodule right upper lobe, worrisome for tiny neoplasm.
4. Advanced emphysematous change.
 
John P Roberson, MD 12/16/2025 10:25 AM

Narrative
PET TUMOR IMAGE W CT SKULL THIGH

INDICATION: lung nodule. Skin cancer of forehead, nonmelanoma

COMPARISON: CT chest October 22, 2025

RADIOPHARMACEUTICAL: 8.68 mCi 18 F- FDG IV, serum glucose level 88, left antecubital injection.

 
TECHNIQUE: Following radiotracer injection, the patient was allowed to rest quietly in a dimly lit room during the uptake phase. Non-contrast CT and PET images were acquired from the skull vertex to the proximal thighs, using attenuation correction. All SUV values are expressed as maximum SUV. This CT examination was performed using one or more of the following dose reduction techniques: Automated exposure control, adjustment of the mA and/or kV according to patient size, or use of iterative reconstruction technique.
 
FINDINGS:
HEAD AND NECK: No abnormal FDG uptake.
CHEST: Advanced emphysema is present. A 6 mm nodule exhibits hypermetabolic uptake in the posterior lateral right upper lobe, 8:84, maximum SUV 1.6. Dependent hypermetabolic opacities are present bilaterally, maximum SUV 2.3 on the right, maximum SUV 3.3 on the left. A more focal 1.1 cm nodular component is present in the right lower lobe adjacent to a subpleural cyst or dilated bronchus, 8:104, maximum SUV 5.1.
ABDOMEN AND PELVIS: No abnormal FDG uptake.
SKELETAL: No abnormal FDG uptake.
CT FINDINGS: Bilateral nonobstructive kidney stones are present. The urinary bladder is decompressed with moderate wall thickening.