Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
11 topics, 31 min.
11 topics, 39 min.
11 topics, 42 min.
11 topics, 29 min.
11 topics, 21 min.
11 topics, 17 min.
11 topics, 21 min.
11 topics, 18 min.
11 topics, 18 min.
11 topics, 28 min.
Interactive Transcript
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
Tags
Neuroradiology
Head and Neck
CT
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