Question

I'm HIV+ since 1993, CD4 about 200, Undetectable VL, have a lump in my neck biopsy says it is Classical Hodkins Lymphoma. I had a PET-SCAN and need help reading the results before I see the oncologist. I am posting the results, could you please let me know if the Lymphoma is only in my neck or in other parts of my body. Thanks for your response. "Multiple hypermetabolic lymph nodes involving the left neck and mediastinum , which is consistent with Hodgkin's lymphoma.

Splenomegaly with no increased uptake in the spleen Narrative PET/CT IMAGING STUDY WITH LOW-DOSE ATTENUATION CORRECTION CT OF THE CHEST, ABDOMEN AND PELVIS

INDICATION: Lymphoma; restaging. 53-year-old male diagnosed with Hodgkin's lymphoma. The patient also has a history of AIDS.

RADIOPHARMACEUTICAL: 10.2 mCi of F-18 FDG injected intravenously.

COMPARISON: None.

FINDINGS: Base of Skull and Neck There is normal distribution of the radiotracer in nasopharyngeal, oropharyngeal, and laryngeal structures.

There is normal distribution of the radiotracer in the mucosal surfaces, salivary glands and thyroid gland.

There are multiple enlarged and hypermetabolic left cervical lymph nodes, for example left level 3B lymph node measuring 2.1 cm, SUV max 10.4, and a conglomerate of left level 4/supraclavicular lymph nodes measuring approximately 4.5 x 1.8 cm, SUV max 10.5.

Chest There is no enlarged and mildly hypermetabolic prevascular lymph node measuring 1.2 x 0.7 cm, SUV max 4.7 and mildly hypermetabolic left hilar lymph node, SUV max 3.1. There is no other hypermetabolic mediastinal, hilar or axillary lymphadenopathy.

Mild emphysematous changes in the bilateral lung parenchyma. There is normal distribution of the radiotracer in the bilateral lung parenchyma.

Abdomen and Pelvis There is normal distribution of the radiotracer in the liver, spleen, pancreas, GI tract, adrenal glands, and kidneys. There is evidence of mild splenomegaly measuring 13.5 cm without appreciable increase in FDG uptake.

There is a small punctate calcification in the midpole of the right kidney likely representing nonobstructive renal calculi.

There is no hypermetabolic mesenteric, pelvic, retroperitoneal or inguinal lymphadenopathy.

Musculoskeletal System There is no abnormal focus of FDG uptake in the bones and soft tissues.

There are of disc centered degenerative changes along the spine.

Answer

According to the report, it appears that there is lymphoma involvement in the neck and minimal involvement in the chest. Otherwise, it doesn't appear there is any evidence of involvement anyplace else.