Whole-body 18F-FDG PET/CT scan in a patient with Lymphoma taken from the PETWB-REP dataset. The following English report (translated from original Chinese) is taken verbatim from the public dataset and has not been modified or otherwise checked for accuracy (see the end for citation).
Findings
After fasting and intravenous injection of 18F-FDG, a whole-body PET/CT scan was performed.
The whole-body scan showed:Normal brain morphology and structure, with patchy low-density shadows in the deep cerebral regions bilaterally; FDG uptake was normal.
Some ventricles, sulci, fissures, and cisterns were widened; periventricular white matter density was decreased; FDG uptake was normal; midline shift was normal.
Normal eyeball morphology and contours bilaterally; clear retrobulbar structures; symmetrical optic nerves bilaterally; FDG uptake was normal.
Thickening of the left maxillary sinus mucosa, with an intact sinus wall.
No thickening of the nasopharyngeal wall; FDG uptake was normal; symmetrical pharyngeal recesses bilaterally; no stenosis of the Eustachian tube openings; normal structures of the infratemporal and pterygopalatine fossae; clear parapharyngeal spaces bilaterally; FDG uptake was normal.
Full palatine tonsils bilaterally; FDG uptake was physiological.
No abnormalities were observed in the morphology and structure of the laryngopharynx.
No abnormal imaging was observed in the bilateral salivary glands.
The thyroid gland is normal in shape and size, with slightly uneven density; FDG uptake is normal.
Several small lymph nodes, less than 0.4 cm in short diameter, are seen in the bilateral deep cervical spaces and submandibular region; FDG uptake is normal.
The thorax is symmetrical bilaterally; the interlobular septa of both lungs are thickened, some showing a reticular pattern; multiple solid nodules and plaque-like foci, approximately 0.3-0.4 cm in long diameter, are seen in both lungs; FDG uptake is normal.
Scattered linear shadows and patchy hazy shadows are seen in both lungs.
The trachea is midline, and the trachea and segmental bronchi are patent.
Multiple lymph nodes are seen in the bilateral hilum, behind the vena cava anterior to the trachea, at the aortic window, and below the carina; the largest is located in the right hilum, approximately 1.6*1.5 cm in size.
FDG uptake is increased in some hilar lymph nodes bilaterally, with an SUVmax of 5.4.
Mild thickening of the pleura bilaterally, with no pleural effusion or pneumothorax bilaterally.
Cardiac imaging was normal.
Following coronary artery stenting, some arterial walls showed calcification (including the coronary arteries), and the ascending aorta was widened by approximately 4.5 cm.
The esophagus showed no dilation, no significant thickening or mass in the esophageal wall, and no increased FDG uptake.
Both breasts showed relatively dense glandular tissue, with multiple punctate calcifications in both glands; FDG uptake was normal.
The liver showed no significant abnormalities in shape or size, with smooth borders and no widening of the hepatic fissures.
Several cystic lesions were observed in the liver, the largest located in the caudate lobe with a long diameter of approximately 1.0 cm; FDG uptake was normal.
A slightly low-density nodule with a long diameter of approximately 0.7 cm was observed in the left lateral lobe of the liver, with clear borders and background FDG uptake.
The main portal vein showed no significant widening, and no dilation of intrahepatic or extrahepatic bile ducts was observed.
The gallbladder appears normal in shape and size, with a rough gallbladder wall and a roughly round, high-density lesion approximately 3.6 cm in length.
FDG uptake is normal.
The pancreas appears normal in shape, with a cystic lesion approximately 1.5 cm in length in the pancreatic tail.
The main pancreatic duct is not widened.
FDG uptake is normal.
The spleen appears normal in shape and size, with normal density and FDG uptake.
Both kidneys appear normal in shape and size.
A cystic lesion approximately 1.0 cm in length is seen in the left kidney.
FDG uptake is not significantly abnormal.
The renal pelvis, calyces, and ureters are not widened, and no positive stones are seen within them.
The right adrenal gland appears normal in shape and density, with normal FDG uptake.
The left adrenal gland is enlarged, with normal FDG uptake.
Poor gastric filling, thickened antral wall, and increased FDG uptake in parts of the gastric wall (SUVmax = 3.4).
Poor bowel preparation, no obvious masses seen in the intestinal wall, and increased FDG uptake in parts of the intestine (SUVmax = 6.4).
Shrunken uterus, no abnormal density shadows seen, and normal FDG uptake.
No abnormal density seen in the bilateral adnexa, and normal FDG uptake.
Bladder filling is adequate, with no positive stones or obvious masses seen.
Small lymph nodes seen in the retroperitoneum, mesentery, and bilateral inguinal regions, the largest with a short diameter less than 0.4 cm, and normal FDG uptake.
No obvious effusion seen in the abdomen or pelvis.
Compressed and flattened L2 vertebral body with cortical fracture, increased FDG uptake (SUVmax = 4.2).
Patchy increased FDG uptake in the L5 vertebral body (SUVmax = 4.6).
Decreased bone density throughout the body, scoliosis, osteophyte formation at the vertebral margins, flattening of the T11, T12, and L4 vertebrae, with no abnormal FDG uptake.
Nuchal ligament calcification, thickening and calcification of the ligamentum flavum at the L4 and L5 levels.
L4/5 and L5/S1 intervertebral disc bulge.
Increased FDG uptake around the right proximal femur after internal fixation, SUVmax = 3.7.
Cortical folds in the right 7th, 8th, and 10th ribs and the left 10th rib, partially interrupted with callus formation, with no abnormal FDG uptake.
Subcutaneous patchy shadows and calcifications in both buttocks, with no abnormal FDG metabolism.
Patchy increased FDG uptake in both shoulder periarthritis, SUVmax = 2.8.
No abnormalities observed on limb imaging.
Mediastinal blood pool SUVmax = 3.6, hepatic blood pool SUVmax = 4.6, used for Deauville score.
Impression
Post-lymphoma treatment, compared with our center's PET/CT examination on November 4, 2022: a. The gastric antrum wall is thicker, with increased FDG metabolism in some areas, similar to before, suggesting post-treatment changes. Some tumor activity remains to be ruled out; please combine clinical findings with a follow-up gastroscopy. b. Multiple lymph nodes are visible in both cervical, hilar, mediastinal, retroperitoneal, mesenteric, and bilateral inguinal regions. The hilar lymph nodes are larger than before, with increased FDG metabolism; the remaining lymph nodes are similar to before, suggesting possible reactive hyperplasia or inflammation. Follow-up is recommended. c. L2 vertebral compression fracture, pathological cause to be ruled out; possible post-injury changes in the L5 vertebral body, lymphoma infiltration to be ruled out. Follow-up is recommended for all of the above.
a. Interstitial lung changes with chronic inflammation and sequelae, chronic inflammatory nodules and plaques in both lungs, similar to previous findings; please follow up with CT scan. Bilateral breast hyperplasia with calcification. b. Post-coronary stent placement, partial arteriosclerosis (including coronary arteries), dilation of the ascending aorta; please consult a specialist.
Liver cyst, possible hemangioma in the left lobe of the liver; MRI examination if necessary. Gallstones, chronic cholecystitis. Left renal cyst. Left adrenal hyperplasia, similar to previous findings.
Cystic mass in the tail of the pancreas, FDG metabolism normal, similar to previous findings; cystadenoma to be ruled out; enhanced MRI follow-up recommended.
Increased FDG metabolism in some intestinal segments, considered physiological uptake or chronic inflammation. 6.a. Osteoporosis, scoliosis with degenerative changes. Old compression fractures of the T11, T12, and L4 vertebrae. L4/5 and L5/S1 intervertebral disc bulges. Old subcutaneous lesions in both buttocks. Bilateral frozen shoulder. b. Post-internal fixation of the right proximal femur fracture, changes following fractures of the right 7th, 8th, and 10th ribs and the left 10th rib.
Bilateral deep lacunar infarcts, white matter degeneration, senile encephalopathy. Left maxillary sinusitis.
This case is from PETWB-REP, a curated dataset of whole-body 18F-FDG PET/CT scans and corresponding radiology reports from 490 patients with a broad spectrum of malignancies. The data were retrospectively collected from patients who underwent clinically indicated whole-body 18F-FDG PET/CT scans at the Shanghai Universal Medical Imaging Diagnostic Center between 2021 and 2024.
License: Creative Commons Attribution 4.0 International (CC BY 4.0)
Citation:
Xue, L., Feng, G., Wenbo, Z., Zhang, Y., Li, L., Wang, S., Peng, L., Peng, S., & Gao, X. (2026). PETWB-REP: A Multi-Cancer Whole-Body FDG PET/CT Dataset with Corresponding Radiology Reports [Data set]. Zenodo. https://doi.org/10.5281/zenodo.18670487
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