Indian Journal of Nuclear Medicine
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Year : 2022  |  Volume : 37  |  Issue : 2  |  Page : 189-191

Sub-diaphragmatic haemangioma suspected on F-18 Fdg Pet/Ct confirmed by Rbc scintigraphy

1 Department of Nuclear Medicine, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan; MIOT International Hospital, Chennai, Tamil Nadu, India
2 Department of Nuclear Medicine, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India

Correspondence Address:
Dr. Arun Prashanth
Department of Nuclear Medicine, MIOT International Hospital, Chennai - 600 089, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.ijnm_153_21

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A 53-year-old woman presented with left submandibular gland carcinoma. Contrast-enhanced computerized tomography done for staging revealed suspicious metastatic omental deposit adjacent to left hemi-diaphragm apart from primary and cervical nodal metastasis. Staging F-18 fluorodeoxyglucose (FDG) positron emission tomography-computed tomography showed high FDG uptake in the primary and metastatic left cervical lymph nodes. However, no FDG uptake was seen in left sub-diaphragmatic mass. Known vascular malformations sites in the left posterior triangle of the neck and liver hemangiomas also showed no uptake. This pattern of uptake raised a suspicion of multiple vascular malformations. Tc-99 m red blood cell scintigraphy was done which confirmed the nature of subdiaphragmatic lesion as haemangioma.

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