Elevated FDG Activity in the Nonpneumatized Sphenoid Bone in an Infant

Clin Nucl Med. 2017 Oct;42(10):798-800. doi: 10.1097/RLU.0000000000001748.

Abstract

A 7-month-old boy with malignant rhabdoid tumor of the right lateral neck, status post resection and chemotherapy, underwent FDG PET/CT for restaging. The images showed diffuse increased activity in the spleen and in the bone marrow of the appendicular bones and the spine, which is related to hematopoietin administered after chemotherapy. The images also revealed intense activity in the region of sphenoid bone, which is not a common region to have elevated FDG activity. The subsequent MRI scan showed that this activity was due to not-yet-converted red marrow in the sphenoid bone in this pediatric patient.

Publication types

  • Case Reports

MeSH terms

  • Fluorodeoxyglucose F18*
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Positron Emission Tomography Computed Tomography
  • Rhabdoid Tumor / complications
  • Rhabdoid Tumor / diagnostic imaging
  • Rhabdoid Tumor / pathology
  • Skull Neoplasms / complications
  • Skull Neoplasms / diagnostic imaging
  • Skull Neoplasms / pathology
  • Sphenoid Bone / diagnostic imaging*
  • Sphenoid Bone / pathology

Substances

  • Fluorodeoxyglucose F18