1 views

Whole-body 18F-FDG PET/CT scan in a patient with Cervical Cancer 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, and resting, a whole-body PET/CT scan was performed.
The whole-body scan showed:The brain morphology and structure were normal, with no abnormal density shadows in the brain parenchyma, and no significant abnormalities in FDG uptake.
No widening of the ventricles, sulci, fissures, or cisterns was observed; the ventricles were symmetrical, and there was no midline shift.
The morphology and outline of both eyeballs were normal, the retrobulbar structures were clear, the optic nerves were symmetrical, and there was no abnormal FDG uptake.
No thickening of the paranasal sinus mucosa was observed, and the sinus walls were intact.
No thickening of the nasopharyngeal wall was observed; the palatine tonsils were symmetrical, and FDG uptake was physiological.
The morphology and structure of the laryngopharynx were normal.
The morphology and density of both parotid and submandibular glands were normal, and FDG uptake was physiological.
The thyroid gland was normal in shape and size, with uniform density, and FDG uptake was normal.
A lymph node with increased FDG metabolism, measuring approximately 0.7*0.5cm in cross-section, is seen in the left cervical root region, with an SUVmax of 2.6.
Multiple solid nodules are observed in both lungs, the largest being located in the anterior basal segment of the left lower lobe, with a long diameter of approximately 0.5cm; FDG metabolism is normal.
A few linear and flocculent density shadows are also seen in both lungs; FDG uptake is normal.
No pleural thickening is observed bilaterally, and there is no pleural effusion or pneumothorax bilaterally.
No significantly enlarged lymph nodes are seen in the bilateral hilar and mediastinal regions.
The cardiac silhouette is normal.
No esophageal dilation, significant wall thickening, or mass is observed; FDG uptake is normal.
Both breasts appear normal; FDG metabolism is normal.
The liver showed no obvious abnormalities in shape and size, with smooth liver margins and no widening of the hepatic fissure.
A small cystic low-density lesion was observed in the parenchyma of the right lobe of the liver on plain CT scan; FDG metabolism was normal.
The main portal vein showed no significant widening, and no dilation of intrahepatic or extrahepatic bile ducts was observed.
The gallbladder showed no abnormalities in shape and size, with slight thickening of the gallbladder wall; local FDG uptake was normal.
The pancreas was normal in shape, with no obvious abnormal density shadows in the parenchyma; the main pancreatic duct was not widened; FDG uptake was normal.
The spleen showed no abnormalities in shape, size, density, or FDG uptake.
A small splenic nodule with a long diameter of approximately 0.5 cm was observed adjacent to the spleen; FDG uptake was normal.
Both kidneys were normal in shape and size, with no obvious abnormal density shadows in the parenchyma; the renal pelvis, calyces, and ureters were not widened; FDG uptake was normal.
Bilateral adrenal gland imaging showed no obvious abnormalities.
The stomach was generally full, with slight thickening of the antral wall and slightly increased FDG uptake (SUVmax = 2.3).
Intestinal fullness was poor; the intestinal wall was not significantly thickened, but FDG uptake was increased in parts of the colon and rectum (SUVmax = 5.3).
The uterus was enlarged with a protruding outline; FDG metabolism in the uterine body was unevenly increased (SUVmax = 6.8).
The cervix was enlarged and mass-like, containing nodular FDG-rich foci, approximately 2.0 1.5 cm in cross-section, with slightly blurred surrounding fat spaces (SUVmax = 6.1).
Within the cervix was a cystic low-density foci, approximately 3.1 2.3 cm in cross-section, with clear borders and absent FDG metabolism; the boundary between the mass and the adjacent vagina was unclear.
Bilateral adnexa were poorly visualized, with uneven FDG metabolism.
The bladder was poorly full, with no obvious positive stones.
Thickening and roughening of the mesentery and greater omentum in the abdominal and pelvic cavities, predominantly on the left side of the abdomen, with some nodular shadows, the largest measuring approximately 1.7*1.1cm in cross-section.
FDG metabolism is increased, SUVmax=7.4.
Perivascular lymph nodes of both iliac vessels are visible, the largest located on the right side, measuring approximately 1.3*0.8cm in cross-section, with increased FDG metabolism, SUVmax=5.9.
Significant fluid accumulation is present in the abdominal and pelvic cavities.
The spinal alignment is normal, with osteophyte formation at the margins of some vertebral bodies.
Pneumodegenerative changes are observed in the T9/10 intervertebral disc.
L3/4, L4/5, and L5/S1 intervertebral disc bulges, with no abnormal FDG uptake.

Impression

  1. a. Cervical mass with unevenly increased FDG metabolism, suggestive of malignancy, with a high probability of vaginal involvement. b. Metastasis to the peritoneum and pelvic mesentery and greater omentum, bilateral periiliac lymph node metastasis. Left cervical root lymph node metastasis cannot be ruled out. c. Bilateral adnexal region poorly visualized, uneven FDG metabolism, metastasis needs to be ruled out; please correlate with clinicopathology. Abdominal and pelvic effusion. d. Uterine fibroid degeneration. Nabothian cyst of the cervix.

  2. Multiple chronic inflammatory nodules in both lungs are possible; metastasis of some nodules cannot be ruled out. Close follow-up CT scans are recommended for comparison. Scattered chronic inflammation and sequelae in both lungs.

  3. Small cyst in the right lobe of the liver. Chronic cholecystitis. Accessory spleen.

  4. Chronic antral gastritis, with increased FDG uptake in parts of the colon and rectum, possibly due to physiological uptake or chronic inflammation. Please follow up with endoscopy.

  5. Degenerative changes in the spine. Pneumothorax and degeneration of the T9/10 intervertebral disc. Bulging of the L3/4, L4/5, and L5/S1 intervertebral discs.

  6. No obvious abnormalities were found on cranial scintigraphy.

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

D

DicomTube

Uploaded 10 days ago

AI Enhanced Learning

0 Comments

U

Next up

No more cases available