Esophageal Cancer - 49-year-old male diagnosed with distal esophageal adenocarcinoma

History
49-year-old male diagnosed with distal esophageal adenocarcinoma. The patient also has pulmonary metastatic disease as well as two vague liver lesions. The patient had dramatic chemotherapy response. PET scan is 2 months post radiation and 5 months post chemotherapy.

CT Findings
CT of chest and abdomen showed a complete regression of the lung nodules. There was also further decrease in the size of liver nodules, the two largest nodules in the left hepatic lobe measuring 1.6 and 2.5 cm.

PET Findings
There is no abnormal uptake in the distal esophagus. The chest is normal without pulmonary or mediastinal uptake. In the abdomen, there is a moderately hypermetabolic round lesion in the left hepatic lobe with SUV vaule of 6-7. This is consistent with viable malignancy. The remaining liver is normal. No other abnormal uptake is present in the remaining abdomen and pelvis. Neck uptake is normal.

Dosage
15.8 mCi FDG

Imaging
CTI REVEAL XL

Courtesy of
Thompson Cancer Survival Center