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Positron Emission Tomography with FDG to Show Thymic Carcinoid

Ashley M. Groves1, Hosahalli K. Mohan1, Eva A. Wegner2, Sharon F. Hain1, John B. Bingham3 and Susan E. M. Clarke1

1 Department of Nuclear Medicine, Guy's and St. Thomas' Hospital NHS Trust, St. Thomas St., London SE1 9RT, England.
2 PET Centre, Guy's and St. Thomas' Hospital NHS Trust, St. Thomas St., London SE1 9RT, England.
3 Department of Radiology, Guy's and St. Thomas' Hospital NHS Trust, St. Thomas St., London SE1 9RT, England.



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Fig. 1A. 35-year-old man with cushingoid appearance. Axial thoracic CT image obtained after IV contrast medium administration reveals anterior mediastinal mass in front of ascending aorta (arrow).

 


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Fig. 1B. 35-year-old man with cushingoid appearance. Anteroposterior radiograph of cervical spine shows sclerotic C5 vertebral body.

 


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Fig. 1C. 35-year-old man with cushingoid appearance. Lateral radiograph of lumbar spine shows sclerotic L4 vertebral body.

 


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Fig. 1D. 35-year-old man with cushingoid appearance. T1-weighted sagittal image of cervical spine shows reduced signal in marrow of C5. Anterior mediastinal mass (arrow) appears as intermediate-signal structure seen behind sternomanubrial joint and anterior to great vessels.

 


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Fig. 1E. 35-year-old man with cushingoid appearance. Orthogonal images from non–attenuation-corrected whole-body positron emission tomography examination (ECAT 951R, Siemens, Erlangen, Germany) show increased FDG uptake in anterior mediastinum. Increased FDG uptake is also seen in soft tissue posterior to L4 vertebra on sagittal view (G).

 


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Fig. 1F. 35-year-old man with cushingoid appearance. Orthogonal images from non–attenuation-corrected whole-body positron emission tomography examination (ECAT 951R, Siemens, Erlangen, Germany) show increased FDG uptake in anterior mediastinum. Increased FDG uptake is also seen in soft tissue posterior to L4 vertebra on sagittal view (G).

 


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Fig. 1G. 35-year-old man with cushingoid appearance. Orthogonal images from non–attenuation-corrected whole-body positron emission tomography examination (ECAT 951R, Siemens, Erlangen, Germany) show increased FDG uptake in anterior mediastinum. Increased FDG uptake is also seen in soft tissue posterior to L4 vertebra on sagittal view (G).

 


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Fig. 1H. 35-year-old man with cushingoid appearance. Whole-body technetium-99m methylene diphosphonate–labeled bone scintigrams show increased radiotracer uptake in region of C5 and L4 vertebral bodies. Multiple other lesions are identified.

 


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Fig. 1I. 35-year-old man with cushingoid appearance. Whole-body technetium-99m methylene diphosphonate–labeled bone scintigrams show increased radiotracer uptake in region of C5 and L4 vertebral bodies. Multiple other lesions are identified.

 

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