EURORAD ESR

Case 14980

Hypervascular pulmonary nodule

Author(s)
Cassar Scalia A, Fiocchi F, Torricelli P

Policlinico di Modena-Università di Modena e Reggio Emilia, Istituto di Radiologia; del Pozzo 71 41100 Modena, Italy; Email:federica.fiocchi@gmail.com
 
Patient
male, 61 year(s)
 
 
  • Figure 1
    Nodule on first CT-examination without contrast material.
     

    a) soft tissue window

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Staging; Special Focus: Metastases;

    b) lung window

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Staging; Special Focus: Metastases;
     
     
  • Figure 2
    PET-CT

    On PET-examination the nodule showed low uptake of FDG (SUV 1.5).

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Staging; Special Focus: Metastases;
     
     
  • Figure 3
    Second CT-examination with contrast material showed dimensional increase.
     

    a) soft tissue window

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    b) lung window

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 4
    Third angio-CT examination showed hypervascular nodule.
     

    a) lung window

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    b) soft tissue window (basal acquisition)

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Staging; Special Focus: Metastases;

    c) soft tissue window (acquisition after medium contrast material injection)

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 5
    Volumetrical increase of the nodule (3D reconstruction images).
     

    a) maximum volume of the nodule in 2015 : 1.8 cm^3

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Metastases;

    b) CT 3D-reconstruction in 2017 shows volumetrical increase of about 2.7 cm^3

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Metastases;
     
     
a) soft tissue window
 
b) lung window
 
On PET-examination the nodule showed low uptake of FDG (SUV 1.5).
 
a) soft tissue window
 
b) lung window
 
a) lung window
 
b) soft tissue window (basal acquisition)
 
c) soft tissue window (acquisition after medium contrast material injection)
 
a) maximum volume of the nodule in 2015 : 1.8 cm^3
 
b) CT 3D-reconstruction in 2017 shows volumetrical increase of about 2.7 cm^3
 
 
 
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