Diffuse FDG renal uptake in lymphoma.
In patients presenting with acute renal failure and known/suspected lymphoma, the diagnosis of diffuse renal involvement is important, as there is potential for rapid resolution with chemotherapy. Although FDG is excreted through the kidneys and focal renal disease may be difficult to identify, diffuse renal FDG is more easily recognized and is always abnormal. We report a patient presenting with acute renal failure and suspected lymphoma. F-18 FDG PET/CT study demonstrated diffuse increased FDG uptake in bilaterally enlarged kidneys. Following 1 cycle of chemotherapy, the renal function normalized. An interim F-18 FDG PET/CT demonstrated normal size and FDG uptake within both kidneys.
Navalkissoor
Shaunak
S
PET/CT Centre, St. Thomas Hospital NHS Trust, London, United Kingdom. shaunakn@hotmail.com
Szyszko
Teresa
T
Gnanasegaran
Gopinath
G
Nunan
Thomas
T
D000368:Aged; D001692:Biological Transport; D004058:Diffusion; D019788:Fluorodeoxyglucose F18 / Q000378:metabolism*; D006801:Humans; D007668:Kidney / Q000378:metabolism*; D008223:Lymphoma / Q000000981:diagnostic imaging / Q000378:metabolism*; D008297:Male; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
D019788:Fluorodeoxyglucose F18