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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

From: A stepwise multi-disciplinary algorithm for diagnosis of fibrosing lung diseases contributing MDCT, MRI, and PET/CT: a study on 250 patients using significance and validation analyses

Fig. 7

A 63-year-old male patient with a history of gastro-esophageal carcinoma managed by CRT. A Pre-management coronal chest CT (mediastinal window) expressing the gastro-esophageal malignant mural thickening (red arrow). B Axial chest CT (lung window) immediately after radiotherapy cycles showing lung emphysematous changes with right anterior upper lobar small scar showing speculated outlines (green square). C Axial chest CT (lung window) immediately after radiotherapy cycles showing left basal parenchymal scarring with ground-glass halo (green square). D Three-month post-irradiation axial chest CT (lung window) showing progression in size and peripheral speculations of the scar. E, F Three-month post-irradiation PET/CT scans showing high FDG-uptake. G Six-month post-irradiation axial chest CT (lung window) showing further progression in size and peripheral speculations of the scar with fleshy soft tissue appearance with interrupted air bronchogram. H, I Six-month post-irradiation PET/CT scans confirming size progression and showing higher FDG-uptake and higher SUV. Diagnosis: Proved patient with metastatic deposit

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