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

Fig. 7

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. 7

A male patient, 68 year-old, known to have metastatic undifferentiated epithelial malignancy diagnosed by FNAB from enlarged left cervical LNs in 2011. PET/CT done in 2011 showed metabolically active left cervical and left laryngeal lesions. He received combined CHT&RT with quiescent follow-up till recently when he developed voice change. The figure shows A Axial PET/CT image, B Axial CT images done for the patient in 2020, Compared to PET/CT done in 2011, the current one showed a glucose avid large amalgamated well defined lesion at the left side of the neck, measuring 6 × 5 cm, picture is impressive of recurrence of tumor and persistence/recurrence of the left cervical lymphadenopathy. According to NI-RADS template, its score is NI-RADS (III). Biopsy was indicated after reporting, the results confirmed the diagnosis. Follow-up PET/CT as clinically indicated would be advisable

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