Wk 6, Case 5 - Review

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Report

Patient History
Melanoma.

Findings
Total body PET was performed from the skull base. The CT was performed without intravenous contrast. The axial fused images demonstrate a focal area of increased uptake involving the lateral aspect of the right neck posterior to the right parotid gland. This abnormal uptake is associated with a right suboccipital lymph node which is just inferior to the mastoid tip. In addition, there are multiple lymph nodes involving the left axilla. There is also a focal area of abnormal uptake involving the left acromioclavicular joint which is likely degenerative. No other focal areas of abnormal uptake are identified.

Patient has a right-sided pacemaker.

Conclusions
1. Right-sided metastatic lymph node suspicious for metastatic melanoma.
2. Multiple enlarged left axillary lymph nodes which are suspicious for metastatic melanoma given the patient's history.

Case Discussion

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Suresh K Mukherji, MD, FACR, MBA

Clinical Professor, University of Illinois & Rutgers University. Faculty, Michigan State University. Director Head & Neck Radiology, ProScan Imaging

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Wk 6, Case 5 - Review