INTERESTING IMAGE |
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Year : 2021 | Volume
: 36
| Issue : 1 | Page : 100-102 |
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Isolated Splenic tuberculosis masquerading as disease progression of hodgkin's lymphoma on interim18F-fluorodeoxyglucose positron emission tomography/computed tomography scan
Sudip Dey1, Nitin Gupta1, Ritu Verma1, Nikhil Seniaray1, Ethel Shangne Belho1, Shashi Dhawan2
1 Department of Nuclear Medicine, Mahajan Imaging, Sir Gangaram Hospital, New Delhi, India 2 Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India
Correspondence Address:
Dr. Sudip Dey Department of Nuclear Medicine, Sir Ganga Ram Hospital, New Delhi India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijnm.IJNM_145_20
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18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) scan is the imaging modality of choice in the management of lymphoma. However, 18F-FDG is a nonspecific tracer for tumoral metabolic activity and infective pathology, thus posing a challenge in accurate response assessment. Here, we present a case of Hodgkin's lymphoma, referred for staging PET/CT scan which showed FDG-avid disease in the mediastinum, and on interim 18F-FDG PET/CT in addition to the mediastinal mass lesion, a FDG-avid lesion was also noted in the spleen suggestive of disease progression. The biopsy report of the lesion was tuberculosis, which was masquerading as disease progression on interim 18F-FDG PET/CT.
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