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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Assessment of head and neck-imaging reporting and data system using fluro-deoxy-glucose-positron emission tomography/computerized tomography scan imaging of recurrence of head and neck tumors

Fig. 6

Male patient 43 year-old with a known previous history of neuroblastoma, presented with left cheek swelling. MRI was done on 21/02/2020, showed a left cheek mass lesion (35 × 40 mm). A Axial CT image, B Axial PET image, C Axial PET/CT image and D Coronal PETScan image, showed a large-sized well-defined left cheek mass lesion, (39X42) mm, eliciting dense tracer fixation with SUV max. up to 19.1. Multiple variable-sized metabolically active LNs are seen at the left submandibular and left upper and lower deep cervical groups, the largest (about 30 × 38 mm) is the former, eliciting SUV max. achieving 20.0. Radiological opinion was highly suspicious of recurrence of neoplasm, according to NI-RADS template, its score is NI-RADS (III). Biopsy was done after reporting and revealed a neuroblastic tumor. Follow-up PET/CT as clinically indicated was advisable

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