title: Fireworks-induced chest wall granulomatous disease: 18F-FDG PET/CT imaging.
abstract: The authors present a case of 18F-FDG-avid granulomatous reaction induced by fireworks injury of the chest wall in a patient with esophageal adenocarcinoma. This hypermetabolic lesion, involving the right pectoralis muscles, appeared slightly more prominent on restaging PET/CT imaging following chemotherapy and radiation therapy. Excisional biopsy of the lesion established the diagnosis of foreign-body granulomatous-type inflammation with surrounding foci of non-polarizable black foreign material and ruled out malignancy. The patient recalled accidentally shooting himself in the chest with a Roman candle at the age of 3.
authors.affiliation: From the Department of Radiology, Mayo Clinic, Scottsdale, AZ.
authors.forename: Stephanie T
authors.initials: ST
authors.lastname: Le
authors.forename: Ba Duong
authors.initials: BD
authors.lastname: Nguyen
mesh_terms: D000059:Accidents; D019788:Fluorodeoxyglucose F18; D006099:Granuloma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed
chemical_list: D019788:Fluorodeoxyglucose F18