Subacute Venous Infarct Mimicking Cerebral Metastasis in 18F-FDG PET/CT

Clin Nucl Med. 2019 Feb;44(2):e120-e122. doi: 10.1097/RLU.0000000000002391.

Abstract

A 68-year-old woman with colon carcinoma was referred to F-FDG PET/CT imaging for staging. In addition to primary tumor involvement, PET/CT demonstrated focal FDG uptake in the right temporal lobe suggestive of primary brain tumor or metastasis. To delineate the lesion, a brain MRI scan showed sigmoid sinus thrombosis and vasogenic edema in the right temporal lobe. The patient presented a history of right-sided headache that began 1 week before the PET/CT. Neurological examination and MRI findings were concluded as subacute venous infarct due to sigmoid sinus thrombosis and that is a potential cause for false-positive FDG uptake on PET/CT.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Brain Infarction / diagnostic imaging*
  • Brain Neoplasms / diagnostic imaging
  • Brain Neoplasms / secondary*
  • Colonic Neoplasms / pathology
  • Diagnosis, Differential
  • Female
  • Fluorodeoxyglucose F18*
  • Humans
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography*

Substances

  • Fluorodeoxyglucose F18