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Clinical nuclear medicine · Aug 2020
Case Reports18F-FDG PET/CT in Hodgkin Lymphoma With Unsuspected COVID-19.
- Xavier L E Boulvard Chollet, Leonardo G Romero Robles, Puy Garrastachu, Antonio Cabrera Villegas, M Clara Albornoz Almada, Patrick M Colletti, Domenico Rubello, Rafael Ramírez Lasanta, and Roberto C Delgado Bolton.
- From the Department of Diagnostic Imaging (Radiology) and Nuclear Medicine, University Hospital San Pedro and Centre for Biomedical Research of La Rioja (CIBIR), Logroño, La Rioja, Spain.
- Clin Nucl Med. 2020 Aug 1; 45 (8): 652-653.
AbstractWe present an asymptomatic 70-year-old man referred for an F-FDG PET/CT for initial staging of a Hodgkin lymphoma. F-FDG PET/CT showed bilateral cervical lymphadenopathy (stage II). Incidentally, the CT demonstrated bilateral ground-glass opacities with low-grade F-FDG activity. CT findings were suspicious for COVID-19 pneumonitis. The COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) examination result was negative. Given the high clinical suspicion for COVID-19, the patient was isolated and repeat RT-PCR was positive at 72 hours. RT-PCR may be falsely negative in early COVID-19 disease, even with positive CT findings.
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