Whole-body positron emission tomography and computer tomography imaging were performed with multi-planar imaging without oral or intravenous contrast material, revealing metastatic disease to lymph node (right external iliac lymph node measuring 2.5 × 4.2 cm), bone (medial aspect of the left clavicle, the posterior lateral aspect of the head of the left humerus, the posterior aspect of the T2 vertebral body, and the right iliac wing), lung (there are approximately 15 solid noncalcified pulmonary nodules in each lung, ranging between 2 and 10 mm), and bilateral adrenal glands.