False-positive FDG PET/CT due to liver parenchymal injury caused by a surgical retractor

Clin Nucl Med. 2012 Sep;37(9):910-1. doi: 10.1097/RLU.0b013e31825b23c0.

Abstract

A 70-year-old man underwent partial gastrectomy with pathology demonstrating gastric follicular lymphoma. After surgery, a staging FDG PET/CT study demonstrated an FDG-avid low-attenuation band in the liver. Corresponding MRI demonstrated a high T2 signal abnormality. This was believed to represent liver parenchymal injury due to liver retraction during surgery. The patient was managed conservatively. MRI at 1 month of follow-up demonstrated resolution of the T2 signal abnormality. FDG PET/CT at 6 months of follow-up demonstrated resolution of FDG uptake. Tissue injury from surgical retraction can produce FDG-avid lesions that need to be distinguished from malignancy on PET/CT.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • False Positive Reactions
  • Fluorodeoxyglucose F18*
  • Gastrectomy / adverse effects
  • Gastrectomy / instrumentation
  • Humans
  • Intraoperative Complications / diagnostic imaging*
  • Liver / diagnostic imaging*
  • Liver / injuries*
  • Male
  • Multimodal Imaging*
  • Positron-Emission Tomography*
  • Surgical Instruments / adverse effects*
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18