Solitary subcentimetric metastatic osseous deposit in primary staging of breast cancer identified on Simultaneous PET /MRI.

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Case History:

71 year old female underwent WB PET /MRI as part of the initial staging workup for Ca right breast.

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Findings:

Axial post-contrast first-minute subtraction MIP image of breasts showing an enhancing lesion in the right breast MR BIRADS V.

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Sagittal STIR image (A) showing a tiny hyperintense lesion in the L2 vertebral body(arrow). Corresponding Sagittal PET (B) and PET/MRI fused (C) images showing mild focal uptake (white arrows). There was a gradual increase in the size of the lesion over two years as seen in the serial MRI in 2015(D) and 2016 (E) (red arrows). Subsequent CT guided vertebral biopsy suggested Metastatic Adeno Carcinoma.

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Follow up PET MIP images showing a gradual increase in FDG uptake (long arrows)

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Case Study Prepared by:

This short PET-MRI Scan case was compiled by Dr. Sangeeta Taneja and Dr. Amarnath Jena (Nuclear Medicine Physician at PET-Suite @ Indraprastha Apollo Hospital, Sarita Vihar).

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Read More about PET-MRI Scan at House Of Diagnostics in Delhi and NCR.

The Simultaneous PET-MRI Scan is currently offered at PET-Suite at Apollo Hospital, Sarita Vihar.

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