18F-FDG PET/CT Imaging of Pulmonary Hamartomas

Author:

Usmani Sharjeel1,Jain Anjali1,Akhter Syed M. J.2,Al Riyami Khulood1,Abubakar Sofiullah1,Al Busaidi Asiya1

Affiliation:

1. Nuclear Medicine

2. Pathology, Sultan Qaboos Comprehensive Cancer Care and Research Center, Muscat, Oman.

Abstract

Abstract Pulmonary hamartoma is the most common benign tumor of the lung and often discovered incidentally on imaging. We report the case of a 49-year-old woman recently diagnosed with left breast cancer with suspicious left axillary lymph nodes. 18F-FDG PET/CT showed well-circumscribed, lobulated, low-attenuation soft tissue mass in the right lower lobe lung with mild to no significant metabolic activity. CT-guided biopsy showed the lesion composed of fat, cartilage, and smooth muscle, admixed with fibroconnective tissue. The findings are consistent with pulmonary hamartoma. The presence of fat in a well-circumscribed solitary pulmonary nodule along with low metabolic activity helps in the characterization of the lesion, which can alter patient management.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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