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Increased Fluoro-deoxy-D-glucose Uptake on Positron Emission Tomography-Computed Tomography Postbronchoalveolar Lavage: A Potential Cause of Radiologic Misinterpretation.
MedLine Citation:
PMID:  20871420     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Cytologic analysis of bronchoalveolar lavage (BAL) fluid is used for lung cancer diagnosis. We describe a patient with a history of rectal carcinoma who presented with a new lung mass. BAL was performed, with positron emission tomography-computed tomography the following day. There was mildly increased fluoro-deoxy-D-glucose uptake in areas of the lung parenchyma with new ground-glass opacification. This created ambiguity in staging, clarified 2 weeks later by a computed tomography showing complete resolution of the ground-glass opacity. Clinicians should be aware that BAL may cause increased pulmonary fluoro-deoxy-D-glucose uptake, making accurate radiologic interpretation problematic. We suggest that to optimize positron emission tomography-computed tomography, studies should not be performed within 24 hours of BAL.
Authors:
Sum Leong; Owen J O'connor; Deirdre Doyle; Desmond M Murphy; Michael M Maher
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  26     ISSN:  1536-0237     ISO Abbreviation:  J Thorac Imaging     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  W89-91     Citation Subset:  IM    
Affiliation:
Departments of *Radiology †Respiratory Medicine, Cork University Hospital, Wilton, Cork, Ireland.
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