• Ann Nucl Med · May 2014

    Case Reports

    A case of septic pulmonary embolism associated with renal abscess mimicking pulmonary metastases of renal malignancy.

    • Jo Sung Jung, Sang Mi Lee, Han Jo Kim, Si-Hyong Jang, and Jeong Won Lee.
    • Department of Radiology, Sooncheonhyang University Cheonan Hospital, Cheonan, Republic of Korea.
    • Ann Nucl Med. 2014 May 1;28(4):381-5.

    AbstractWe report the case of a 46-year-old woman with acute febrile symptom who had multiple pulmonary nodules and a renal mass. She underwent (18)F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to find a hidden malignancy and the cause of her fever. FDG PET/CT images demonstrated a renal mass and multiple lung nodules with intense FDG uptake, which was suspicious of a renal malignancy with multiple pulmonary metastatic lesions. CT-guided biopsies of the pulmonary and renal lesions only showed chronic inflammatory infiltrates without evidence of malignancy. She was diagnosed with septic pulmonary embolism from a renal abscess. One month after antibiotic treatment, the follow-up chest and abdomen CT showed improvement of the lung and renal lesions. This is the first case demonstrating the FDG PET/CT finding of septic pulmonary embolism associated with renal abscess in the published literature.

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