PMC5221689_01
Three consecutive axial CT (A), PET (B) and fused PET/CT (C) images showing moderate FDG uptake in nodular pleural thickening of right lung (SUVmax 4.6) with non-FDG-avid pleural effusion
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F1
Glucose level of the patient was 113 mg/dl, and 18F-FDG-PET/CT showed diffuse FDG accumulation in the right pleural thickening (Figure 1).
Maximum intensity projection (MIP) showing no other pathological FDG uptake in body (except previously described pleural lesions)
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F2
Whole-body images revealed no other FDG-avid abnormalities, and it could not detect all the nodules identified in CT-scan (Figure 2).
Thoracoscopic pleural biopsy showing epithelioid hemangioendothelioma invading pleura HEx100 (A); HEx400 (B); CD34 reactivity of neoplastic epithelioid cells, anti-CD34x100 (C)
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F3
Subsequent thoracotomy with pleural fluid drainage and pleural biopsy confirmed pleural EHE (Figure 3).