001000000000075618_001_241268680_001_290_1

Shaukat Khanum Memorial Cancer Hospital & Research Centre
Johar Town, Lahore, Pakistan Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198

Email: [email protected], Website: www.shaukatkhanum.org.pk
Department of Radiology
PDF: 23-Sep-2024 15:56:32 Page 1 of 2
: 001-80005178073 Order By : Mariyam Waseem Dr.

MRNO
Dept Ref# : 24-0008396 Referring Physician : Nadia
: Saeeda Younas
In-house Consultant : Aamna Hassan Dr.
Name
Age/Sex : 71 Year(s)/Female Destination(s) of Report : Radiology Reception - Lhr
Phone : 92 0309 0797974 Request Date : 17-Sep-2024 03:44:18 PM
Perform Date : 18-Sep-2024 10:47:42 AM
Address: P, PAKISTAN
Report Date : 20-Sep-2024 10:29:58 AM
CPT : PET-CT scan

HISTORY : Right nasal malignant melanoma, staging scan.
TECHNIQUE : PROCEDURE: 317 MBq (18F)-fluorodeoxyglucose was administered intravenously via right arm
vein. To allow for distribution and uptake of radiotracer, the patient was allowed to rest quietly for
60 minutes in a shielded room. Imaging was performed on an integrated multi-slice PET/CT
scanner, with scanning from whole body. Blood glucose at the time of the injection was measured
at 107 mg/dL. Serum creatinine = 0.90 mg/dl. CT scanning was performed with intravenous
contrast material. All reported uptake values are maximum SUVs unless stated otherwise.
REPORT : Correlative study: Report of CT PNS dated 28-08-2024.
Reference hepatic SUV = 2.8
HEAD/NECK:
Sections through the visualized brain demonstrate physiological uptake without any abnormal
focality. A large hypermetabolic mass is identified in the left sided nasopharyngeal region which
is reaching up to the right medial orbital wall, nasal bones, right maxilla. In its maximum
dimensions this mass measures 6.1 x 4.2 cm, SUV 13.9. Laterally this mass is extending into
the infratemporal fossa. Causing the infratemporal fossa and medial pterygoid plates. Left
maxillary sinus mucosal thickening is identified. Also noted is the opacification of the bilateral
ethmoidal sinuses likely due to tumor. No size significant or FDG avid cervical or supraclavicular
lymphadenopathy identified.
THORAX:
Hypermetabolic multilevel mediastinal lymphadenopathy is identified involving the AP window,
prevascular, precarinal, bilateral hilar and subcarinal nodal stations, for reference the left hilar
node measures 0.7 cm, SUV 4.8, the subcarinal node measures 0.7 cm, SUV 5.0. Atelectatic
changes are noted in the left lower lung which are non-FDG avid. Bilateral lower lungs non-FDG
avid. No suspicious pulmonary nodularity noted.
ABDOMEN/PELVIS:
Homogenous hepatosplenic uptake is identified. Specks of calcification is noted in the segment
IV-B of the liver. Gallbladder, adrenals and kidneys appear unremarkable. No size significant or
Electronically verified report, no signature(s) required.

ANIS UR REHMAN DR. AAMNA HASSAN DR. M. ATIF NAVEED DR. MAIRAH RAZI DR. SADAF MUFTY DR.
MBBS , FCPS , FRCR(UK) MBBS, MD, DABNM (USA), MBBS, DABR (DR & MBBS, FCPS MBBS, FCPS
Consultant Radiologist CCD Neuroradiology) (USA) Consultant Senior Instructor Nuclear Medicine Senior Instructor Nuclear Medicine
Consultant Nuclear Physician Radiologist
Shaukat Khanum Memorial Cancer Hospital & Research Centre
Johar Town, Lahore, Pakistan Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198
Email: [email protected], Website: www.shaukatkhanum.org.pk
Department of Radiology
PDF: 23-Sep-2024 15:56:32 Page 2 of 2
: 001-80005178073 Order By : Mariyam Waseem Dr.

MRNO
Dept Ref# : 24-0008396 Referring Physician : Nadia
: Saeeda Younas
In-house Consultant : Aamna Hassan Dr.
Name
Age/Sex : 71 Year(s)/Female Destination(s) of Report : Radiology Reception - Lhr
Phone : 92 0309 0797974 Request Date : 17-Sep-2024 03:44:18 PM
Perform Date : 18-Sep-2024 10:47:42 AM
Address: P, PAKISTAN
Report Date : 20-Sep-2024 10:29:58 AM
FDG avid abdominal, pelvic sidewall and inguinal lymphadenopathy identified.
MUSCULOSKELETAL:
Multiple osseous destructive lesions are identified with FDG uptake involving the right humeral
head, T1/T2 vertebral body, right 4th and 7th vertebra, L5, right 7th rib, right iliac bone. The
osteolytic lesion at the T1/T2 vertebra has soft tissue component with intraspinal extension and
critical alert was communicated, was generated on the reviewing of the scan, SUV 5.3. The
involvement of the facial and nasal bones was discussed earlier. Left femoral shaft SUV 1.9, L5
vertebral body SUV 11.0. Focal linear uptake is also noted in the left arm muscles near the elbow
joint, SUV 4.1 likely stress related.
CONCLUSION : Hypermetabolic right nasopharyngeal tumor with local extension and mediastinal
lymphadenopathy and osseous lesions.
AAMNA HASSAN DR.

SYED SHAHZAD HUSSAIN DR.
Syeda Hadia Najam Dr.
Electronically verified report, no signature(s) required.

ANIS UR REHMAN DR. AAMNA HASSAN DR. M. ATIF NAVEED DR. MAIRAH RAZI DR. SADAF MUFTY DR.
MBBS , FCPS , FRCR(UK) MBBS, MD, DABNM (USA), MBBS, DABR (DR & MBBS, FCPS MBBS, FCPS
Consultant Radiologist CCD Neuroradiology) (USA) Consultant Senior Instructor Nuclear Medicine Senior Instructor Nuclear Medicine
Consultant Nuclear Physician Radiologist

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Shaukat Khanum Memorial Cancer Hospital & Research Centre

Johar Town, Lahore, Pakistan Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198

: 001-80005178073 Order By : Mariyam Waseem Dr.

CPT : PET-CT scan

Electronically verified report, no signature(s) required.

: 001-80005178073 Order By : Mariyam Waseem Dr.

FDG avid abdominal, pelvic sidewall and inguinal lymphadenopathy identified.

AAMNA HASSAN DR.

Electronically verified report, no signature(s) required.

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