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, a whole-body PET/CT scan was performed.
The whole-body images showed: Normal brain morphology and structure; no abnormal density shadows were seen in the brain parenchyma; no significant abnormalities in FDG uptake were observed.
No widening of the ventricles, sulci, fissures, or cisterns was observed; the ventricles were symmetrical, and there was no midline shift.
The eyeballs were symmetrical and showed no significant abnormalities.
Thickening of the maxillary sinus mucosa was observed bilaterally, but no thickening was observed in the mucosa of the remaining paranasal sinuses; the sinus walls were intact.
No thickening of the nasopharyngeal wall was observed; the palatine tonsils were symmetrical bilaterally, and FDG uptake was physiological.
The laryngopharynx showed no abnormalities in morphology and structure.
The parotid and submandibular glands showed normal morphology and density, and physiological FDG uptake was observed.
Focal increased FDG uptake was observed in the left upper and lower alveolar regions, with SUVmax = 5.6.
The thyroid gland showed normal morphology and size, uniform density, and no abnormalities in FDG uptake.
Multiple lymph nodes were observed in the bilateral deep cervical spaces, submandibular and submental regions, and left supraclavicular fossa.
The largest lymph node had a short diameter of approximately 1.0 cm, with increased FDG uptake (SUVmax = 6.5).
Lung markings were clear bilaterally.
Several small solid nodules were observed in the upper and middle lobes of the right lung, the largest being approximately 0.4 cm in diameter, with no abnormal FDG uptake.
A few scattered linear lesions were present in both lungs, with no abnormal FDG uptake.
No pleural thickening was observed bilaterally, and there was no pleural effusion or pneumothorax.
No significantly enlarged lymph nodes were observed in the bilateral hilar and mediastinal regions.
The cardiac silhouette was normal.
The cardiac chamber density was lower than that of the myocardium, and some arteries showed slight sclerosis.
The esophagus was not dilated, and the esophageal wall showed no significant thickening or mass; FDG uptake was not increased.
Both breasts showed dense glandular tissue, with no obvious masses or nodules, and FDG metabolism was normal.
The liver showed no obvious abnormalities in shape and size, with smooth liver margins and no widening of the hepatic fissures.
Punctate dense shadows were observed in the right posterior lobe of the liver, with no abnormal FDG uptake.
The main portal vein showed no obvious widening, and no dilation of intrahepatic or extrahepatic bile ducts was observed.
The gallbladder showed no abnormalities in shape and size, with no thickening of the gallbladder wall and no abnormal local FDG uptake.
The pancreas was normal in shape, with no obvious abnormal density shadows in the parenchyma, no widening of the main pancreatic duct, and no obvious abnormal FDG uptake.
The spleen was enlarged, with no abnormal density shadows and no abnormal FDG uptake.
A soft tissue density nodule approximately 0.6 cm in diameter was observed adjacent to the spleen, with no abnormal FDG uptake.
Both kidneys were normal in shape and size, with a fat density shadow approximately 1.0 cm in long diameter seen at the edge of the left kidney, with no abnormal FDG uptake.
High-density shadows were seen in the renal pelvis, calyces, ureters, and bladder, with no obvious abnormal FDG uptake.
Bilateral adrenal glands showed no obvious abnormalities on contrast imaging.
The stomach is adequately full, with slight thickening of the gastric wall at the cardia and antrum.
FDG uptake is mildly increased (SUVmax = 2.9).
Intestinal fullness is unsatisfactory; no local masses are observed, and FDG uptake is normal.
The cervix is full, with a soft tissue density mass visible, its borders indistinct, measuring approximately 6.7*5.5*7.4cm, involving the lower segment of the uterine body and the upper segment of the vagina.
The boundary with the adjacent rectum is indistinct, and FDG uptake is unevenly increased (SUVmax = 14.7).
Multiple lymph nodes are visible bilaterally near the iliac vessels and in the retroperitoneum, the largest measuring approximately 1.3cm in short diameter, with increased FDG uptake (SUVmax = 6.3).
The uterine margins are not smooth, with patchy FDG uptake in the uterine cavity (SUVmax = 6.4).
Metallic shadows are seen bilaterally in the adnexa, along with cystic lesions in both adnexa, the largest being on the right side measuring approximately 4.3*2.5cm, with absent FDG uptake.
The spinal alignment is normal, with mild osteophyte formation at the margins of some vertebrae.
L4/5 and L5/S1 disc herniation, calcification at the posterior margin of the L5/S1 disc, increased density at the bilateral sacroiliac joint surfaces, no abnormal FDG uptake.
Increased FDG uptake in the whole body medullary cavity, SUVmax=4.4.
Impression
a. Cervical mass with increased FDG metabolism, consistent with cervical cancer. Multiple lymph node metastases bilaterally to the iliac vessels and in the retroperitoneum. Metastasis to the left supraclavicular fossa lymph nodes is highly likely; follow-up is recommended. b. Uterine fibroids are highly likely, possibly due to physiological uptake within the uterine cavity; bilateral ovarian cysts. Ultrasound follow-up is recommended.
Chronic inflammatory nodules in the upper and middle lobes of the right lung; CT follow-up is recommended to rule out other confounding nodules. A few post-inflammatory lesions in both lungs. Anemia changes, slight arteriosclerosis in some arteries.
Angiomyolipoma of the left kidney. Calcification in the right lobe of the liver. Splenomegaly, accessory spleen. Residual contrast agent in the urinary tract.
Chronic inflammatory changes in the cardia and antrum of the stomach.
a. Mild osteophyte formation in the spine, L4/5 and L5/S1 intervertebral disc herniation, calcification at the posterior margin of the L5/S1 intervertebral disc. b. Osteitis condensans of the bilateral sacroiliac joints. Increased FDG metabolism throughout the bone marrow cavity, suggestive of reactive proliferative changes.
No obvious abnormalities were found on cranial scintigraphy. Chronic inflammation of both maxillary sinuses. Inflammation of the left upper and lower alveolar ridges. Reactive hyperplasia of both cervical lymph nodes.
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
DicomTube
Uploaded 10 days ago
0 Comments
Next up
No more cases available