Case | PET/CT finding | ceCT finding | Followup | Anticipated impact of ceCT on management |
---|---|---|---|---|
4.1 | No metastases | Liver metastasis | Post-chemotherapy scans. Microwave ablation to liver after scans. Followup PET 13 months later: negative for metastases. Clinical follow up 3 years later: well | Appropriate changea |
4.2 (Fig. 2) | No metastases | Necrotic right external iliac nodes: Interval decrease in size | Post-chemoradiotherapy. Following excision: nodes negative for metastasis. | Inappropriate change |
4.3 | No metastases | Left paraaortic node suspicious for metastasis | Repeat CT 39 months later: node stable in size, CEA undetectable | No change |
4.4 | No metastases | Left upper quadrant omental deposit | Clinical follow up 1.5 months later: no evidence of metastases | No change |
4.5 | No metastases | Equivocal change in known penile metastasis | MRI showed improvement in penile metastasis | No change |