旧贴链接:
https://bbs.wenxuecity.com/health/1141706.html
https://bbs.wenxuecity.com/health/1142882.html
PET-CT 结果:
IMPRESSION:
1. Intensely avid left upper lobe mass with FDG avid lymph nodes in the bilateral hilar, paratracheal and subcarinal nodal stations. The nodes are seemingly stable dating back to 4/22/2022, but the left upper lobe mass is new versus significantly enlarged since that time. While the stability and partial calcification of some of the lymph nodes as well as a positive QuantiFERON test suggest granulomatous disease as a potential etiology, malignancy remains a concern, and correlation with upcoming biopsy results is needed.
2. Diffuse mild to moderate marrow uptake without CT correlate is nonspecific, potentially reactive/inflammatory.
3. Mildly FDG avid enlarged left retroperitoneal lymph node versus retroperitoneal soft tissue nodule is nonspecific and may or may not be related to the process above, close attention on follow-up.
4. Intense FDG uptake within a prominent subcentimeter short axis right level 2 lymph node and bilateral tonsils and nasopharynx, indeterminate but most likely reactive. Attention on follow-up.
我的理解,如果是癌,就已经转移?
下边付谷歌翻译:
印象:
1. 左上叶强烈肿块,FDG 淋巴结肿大
双侧肺门、气管旁和隆突下淋巴结站。这
节点看似稳定,可追溯到 4/22/2022,但左上
自那时以来,肺叶质量是新的而不是显着增大。尽管
一些淋巴结的稳定性和部分钙化
QuantiFERON 测试呈阳性表明肉芽肿性疾病
潜在的病因、恶性肿瘤仍然是一个问题,并且与
需要即将到来的活检结果。
2. 没有 CT 相关性的弥漫性轻度至中度骨髓摄取是
非特异性,潜在反应性/炎症性。
3. 与轻度 FDG 左腹膜后淋巴结肿大相比
腹膜后软组织结节是非特异性的,可能是也可能不是
以上流程相关,密切关注后续。
4. 突出的亚厘米短轴内强烈的 FDG 吸收
右侧2级淋巴结和双侧扁桃体和鼻咽,
不确定但很可能是反应性的。关注后续。