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Lynne's PET scan results...

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Well, here's what I learned today. That the PET scan shows any 'hot

spots' and further testing is now necessary, including lymphnode

removal and ultrasound. 3/6 & 3/7 those will be done,the surgeon

consult,not the surgery yet,and the ultasound. They didnt get the

full range of what a PET does because I am allergic to the iodine

injection most people get. I copied the test results from the

oncologist and if you have any insight into deciphering, please go

right ahead! I am ok though, so dont worry. Atleast they see there

are definately some things going on and hopefully these next few

procedures will help figure out exactly what. I will keep you

informed as I learn anything new. Thank you again for your love and

support and of course your prayers! Love, Lynne

*********************************************************************

**

Nuclear Medicine Positron Emission Tomography Scan 2/21/06

PET/WB Lymphoma Initial Staging Tomography Scan

Clinical Information: Lymphoma. 39 yr.old female with history of

fatigue,splenomegaly,autoimmune disease,celiac disease, hashimotos

thyroiditis, sjogrens,pancreatitis,status post liver biopsy 2/7/06.

Techinique: 20 millicuries of f-l8 fdg (flurodeoxyglucose)was given

intravenously. The patient was allowed to equilibrate for

approximately one hour. Subsequent emission images were reviewed

soft copy from the malar arch through the proximal thighs.

These images are attenuation corrected using ct scans obtained

during the examination. Standardized uptake values are calculated

using a lean body mass algorithm. Intracranial,heart,and lower

extremity evaluation was not obtained. 30 ml. of gastro was

available. CT scans obtained are primarily for the purposes of

attenuation correction and anatomic localization. Images are of

limited diagnostic quality.

Comparison: dictated report,Linville, Adcook and Dexter, ll/02/05

Negative CT scan chest. Ll/02/05 CT scan abdomen and pelvis with

reported splenomegaly. Ll/l8/05 MRI Brain with reported inflammatory

change in the paranasal sinuses. 2/8/06 MRI of the neck with

reported multiple lymph nodes of the neck involving the carotid

spaces,submandibular spaces and chronic left maxillary sinus disease.

Findings:

There is moderate tonsillar pillar and adenoidal tissue activity

with suv up to 6.

Mandibular activity is present with suv of up to 7. There is also

premandiubular submental soft tissue uptake.

Nonspecific activity at the bilateral neck lymph nodes. PET

sensitivity is best for lcm size nodule and high-grade malignancy.

Visceral activity is present in the kidneys and bladder. There is

asymmetric uptake at the left pelvis, probably related to the left

ovary. SUV is in the range of 6 to 7. Suggest pelvic ultrasound

evaluation.

Impression:

l. Tonsillar pillar and adenoidal soft tissue uptake with SUV in the

6 range.

2. Mandibular and premandibular and submental soft tissue activity

that may be infectious,inflammatory or dental etiology.

3. Nonspecific activity at the bilateral neck lymph nodes.

4. Left adnexal activity with SUV of 6 to 7.

5. Pelvic ultrasound evaluation.

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Hi Lynne,

I forwarded your message to Dr. Andrade. will let you know what he has to say

about all of this.

Lynne <momof6incfl@...> wrote:

Well, here's what I learned today. That the PET scan shows any 'hot

spots' and further testing is now necessary, including lymphnode

removal and ultrasound. 3/6 & 3/7 those will be done,the surgeon

consult,not the surgery yet,and the ultasound. They didnt get the

full range of what a PET does because I am allergic to the iodine

injection most people get. I copied the test results from the

oncologist and if you have any insight into deciphering, please go

right ahead! I am ok though, so dont worry. Atleast they see there

are definately some things going on and hopefully these next few

procedures will help figure out exactly what. I will keep you

informed as I learn anything new. Thank you again for your love and

support and of course your prayers! Love, Lynne

*********************************************************************

**

Nuclear Medicine Positron Emission Tomography Scan 2/21/06

PET/WB Lymphoma Initial Staging Tomography Scan

Clinical Information: Lymphoma. 39 yr.old female with history of

fatigue,splenomegaly,autoimmune disease,celiac disease, hashimotos

thyroiditis, sjogrens,pancreatitis,status post liver biopsy 2/7/06.

Techinique: 20 millicuries of f-l8 fdg (flurodeoxyglucose)was given

intravenously. The patient was allowed to equilibrate for

approximately one hour. Subsequent emission images were reviewed

soft copy from the malar arch through the proximal thighs.

These images are attenuation corrected using ct scans obtained

during the examination. Standardized uptake values are calculated

using a lean body mass algorithm. Intracranial,heart,and lower

extremity evaluation was not obtained. 30 ml. of gastro was

available. CT scans obtained are primarily for the purposes of

attenuation correction and anatomic localization. Images are of

limited diagnostic quality.

Comparison: dictated report,Linville, Adcook and Dexter, ll/02/05

Negative CT scan chest. Ll/02/05 CT scan abdomen and pelvis with

reported splenomegaly. Ll/l8/05 MRI Brain with reported inflammatory

change in the paranasal sinuses. 2/8/06 MRI of the neck with

reported multiple lymph nodes of the neck involving the carotid

spaces,submandibular spaces and chronic left maxillary sinus disease.

Findings:

There is moderate tonsillar pillar and adenoidal tissue activity

with suv up to 6.

Mandibular activity is present with suv of up to 7. There is also

premandiubular submental soft tissue uptake.

Nonspecific activity at the bilateral neck lymph nodes. PET

sensitivity is best for lcm size nodule and high-grade malignancy.

Visceral activity is present in the kidneys and bladder. There is

asymmetric uptake at the left pelvis, probably related to the left

ovary. SUV is in the range of 6 to 7. Suggest pelvic ultrasound

evaluation.

Impression:

l. Tonsillar pillar and adenoidal soft tissue uptake with SUV in the

6 range.

2. Mandibular and premandibular and submental soft tissue activity

that may be infectious,inflammatory or dental etiology.

3. Nonspecific activity at the bilateral neck lymph nodes.

4. Left adnexal activity with SUV of 6 to 7.

5. Pelvic ultrasound evaluation.

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