Segmental "misty mesentery" on FDG PET/CT: an uncommon manifestation of mesenteric lymphoma

Clin Nucl Med. 2014 Jan;39(1):84-6. doi: 10.1097/RLU.0b013e31829960f6.

Abstract

Mesenteric lymphomas are commonly seen as bulky hypermetabolic nodal masses on F-FDG PET/CT. Very rarely, these are seen as mesenteric haziness due to localized hyperattenuation of fat, known as "misty mesentery", which morphological imaging-wise has other differentials as well. We report a unique imaging finding of segmental misty mesentery with hypermetabolic mesenteric nodes on FDG PET/CT in a patient who was kept on observation due to inconclusive biopsy, which on follow-up imaging progressed to extensive lymphomatous involvement. Thus, in retrospect, this imaging feature on baseline PET/CT was diagnostic for mesenteric lymphoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fluorodeoxyglucose F18*
  • Humans
  • Lymphoma / diagnostic imaging*
  • Male
  • Mesentery*
  • Multimodal Imaging*
  • Positron-Emission Tomography*
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18