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Mass at the right pulmonary hilum, hypermetabolic lymphadenopathy in the precarinal and left paratracheal areas. Are these really bad findings?

There is a small mass at the right pulmonary hilum with intense uptake of tracer with a maximum SUV of 5.7 and an additional similar area of focal uptake in the posterior right pulmonary hilum with a maximum SUV of 8.4 and a third area in the medial hilum with a maximum SUV of 6.8 adjacent to the right mainstem bronchus . There is additional hypermetabolic lymphadenopathy in the precarinal and left paratracheal areas with intense uptake. Is this really bad?
Asked On : Sat, 8 Sep 2012
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Pulmonologist 's  Response
You have only mentioned the PET CT finding of thorax. In PET CT scan increased uptake of the contrast signifies increased metabolic activity of that region. Now in PET scan increased uptake can be due to any granulomatous disease (like tuberculosis, sarcoidisis etc) and malignancy. Now, always PET CT should be read with the clinical profile of the patient. You must consult a pulmonologist because the patient need bronchoscopy and other supportive investigations for diagnosis.
Answered: Thu, 20 Sep 2012
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