New here. Guess i have lung cancer looking at my PET
Hi all, I started out w/ ground glass 2 yrs ago. They tried to do a biopsy and after they had shot me up and did a CT they decided they couldn't as it was too risky and the nodule had 'shrunk'. In 2 weeks??! Anyway, CT scans every 6 months for 2 years. Last one in OCT 23 it was stable Today I am just getting home from my 2nd PET (first done 6-2022) and see the results. Terrified. My mom just died and left me in a mess, I have no friends or family. I was trying to fix everything because i knew this was gonna happen and now i can't even get to my bed from dragging her stuff in. Now what do i do??! sorry, shaking and freaking out. Googled it and foound this site. SUV of above 13!!!! now what??? julie
1. Highly suspicious right apical nodule demonstrating a maximum SUV of 13.7.
This has increased in size and activity since 2022.
2. Questionable, CT occult region of increased uptake in the right suprahilar
region could represent an abnormal lymph node.
2. No evidence of disease in the left thorax, mediastinum, or below the
diaphragm.
Narrative
PET CT
REASON FOR STUDY: Lung cancer
COMPARISON: 6/24/2022 and CT of the chest 5/2/2024
RADIOPHARMACEUTICAL: 5.5 mCi F-18 FDG intravenously.
Technique: Prior to injection of the radiotracer, the patient's blood glucose is
96 mg/dL. Following injection and an approximately 66 minute distribution
interval, PET scan is performed from the skull to the midthigh. Low dose,
noncontrast CT is performed in the same anatomic distribution for attenuation
correction of the PET scan and to assist in localizing the PET findings.
FINDINGS:
HEAD AND NECK: The visualized brain demonstrates no definite focal abnormal FDG
activity. Salivary, tonsillar and laryngeal activity appears ordinary. No
hypermetabolic cervical or supraclavicular lymphadenopathy is demonstrated.
CHEST: There is a 1.5 cm spiculated, hypermetabolic right apical nodule that
demonstrates a maximum SUV of 13.7 (previously 3.9). A focal area of
hypermetabolic activity in the right suprahilar region demonstrates a maximum
SUV of 5.7. No corresponding abnormality is seen on the grayscale CT images, but
this could represent a nonenlarged but pathologic lymph node. No other abnormal
uptake is seen in the chest.
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Had a right lower lobectomy on April 3rd of 2023 (first surgery of the day). I was home the next day by 1 pm.
I never needed anything more than acetaminophen and that was only for about 3 days post. Recovery was much easier than my imagination led me to believe and, aside from a small detour due to a chylothorax they had to go back in to fix (yay me, part of the 3%!), I did great. I'm over a year out now with NED and no SOB or any other symptoms.
I was staged at 1a with clear lymph nodes and margins. No chemo (so far)