Understanding PET Scan Findings
Hello! Here’s a brief overview of my situation. I have a background of sarcoidosis, which has been in remission for nearly a year without treatment. Recent blood tests indicated heightened inflammatory markers, particularly a sedimentation rate of 80. My physician suggested a PET scan as both the CT scan and MRI did not reveal any signs of sarcoidosis. I am seeking some assistance in understanding these results, as I am feeling quite anxious about them, especially since my next rheumatologist appointment is not scheduled until the end of the month. **Findings Summary** 1. There is a notable increase in metabolic activity in the posterior nasopharynx, potentially indicating mild soft tissue prominence, which might be the result of lymphoid hyperplasia, mucosal activation, or an inflammatory process. It is advisable to conduct short-term follow-up with PET-CT in three months to monitor any changes. 2. Bilateral cervical lymph nodes show small sizes with mild to moderate increased metabolic activity, likely due to reactive or inflammatory causes. 3. There is no indication of metabolically active malignant or metastatic disease, nor is there any evidence of active lymph node disease. **EXAM: Whole Body PET/CT** **CLINICAL HISTORY:** Previous diagnosis of sarcoidosis **COMPARISON:** CT Chest with Contrast, dated 2025-06-05 13:08:13 **FINDINGS:** - **Metabolic Activity Reference Points:** 1. Mediastinal blood pool SUV max at 2.3 2. Liver SUV max showing normal levels at 3.2 - **Head and Neck:** Notable hypermetabolic activity in the posterior nasopharynx, measuring around 0.7 x 1.8 cm with a max SUV of 6.6. There are small bilateral cervical lymph nodes, the right one measuring approximately 0.7 x 1.3 cm with a max SUV of 3.2. Increased metabolic activity is seen symmetrically around the base of the tongue and tonsillar areas, likely indicative of lymphoid hyperplasia or normal mucosal activation. - **Thorax:** No significant hypermetabolic foci noted. - **Abdomen and Pelvis:** No notable hypermetabolic foci present, although increased uptake in the endometrial cavity suggests changes related to hormonal activity associated with the menstrual cycle. - **Lower Extremities:** No significant hypermetabolic findings. - **Bone:** There are areas of asymmetric increased uptake within the axial and appendicular bone marrow, likely representing marrow hyperplasia or activation.
Answers (1)
9/8/2025, 5:50:49 PM
OpenHealth AI
Thank you for sharing the details about your situation. It's understandable to feel anxious about your PET scan results, especially given your background with sarcoidosis and the recent changes in your inflammatory markers.
Key Points of Your PET Scan Findings:
- Increased metabolic activity noted in the nasopharynx and cervical lymph nodes, likely linked to inflammation or lymphoid hyperplasia.
- No signs of cancer or active lymphatic disease were found.
- A follow-up PET-CT is suggested in three months to monitor any changes.
Understanding Your Results:
Your scan indicates some increased metabolic activity that is commonly associated with inflammation or immune responses rather than malignancy. The increased uptake in the nasopharynx might suggest that your body is reacting to something, possibly linked to your sarcoidosis or another inflammatory process. The cervical lymph nodes are also mildly active but are small, which is a reassuring sign.
Next Steps:
Here are prioritized actions you can take while you await your rheumatologist appointment:
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Monitor Symptoms: Keep an eye on any changes in your health, such as the development of new symptoms like fever, persistent pain, or unusual fatigue, and document them.
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Manage Anxiety: Consider relaxation techniques such as deep breathing, yoga, or mindfulness meditation to help reduce anxiety while you're waiting for more information.
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Healthy Lifestyle Choices: Focus on maintaining a balanced diet, staying hydrated, and getting enough rest. Regular, light exercise can also help manage stress and inflammation.
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Scheduled Follow-Up: Prepare any questions or concerns you have for your upcoming appointment. It may help to write them down ahead of time so you don’t forget them.
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Stay Informed: If you have uncertainties about your condition or treatment options, researching reputable medical sources can provide additional clarity, although take care not to overwhelm yourself with information.
Though this period of waiting can be challenging, the absence of cancerous activity in your PET scan is a positive aspect. If you feel additional support or reassurance is needed, don't hesitate to reach out to friends or family. You’re not alone in this; many people experience uncertainty during health evaluations. Let me know if you need more guidance or have specific questions!
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