PET/CT with CONTRAST, taken 1/6/2021
IMPRESSION:
1. No evidence of FDG avid adenopathy.
2. Decreased focal FDG uptake at the junction of the descending and sigmoid colons when compared to prior. Of note colonoscopy results from 10/23/2020 demonstrated fragments of granulation tissue with ulcer, positive for CMV.
3. Improving right lower lobe pneumonia.
4. Splenomegaly.
PET/CT with CONTRAST, taken 3/4/2022
IMPRESSION:
1. No suspicious FDG avid lymphadenopathy. Unchanged splenomegaly with uptake below that of background liver. Deauville score of 1.
2. New focal radiotracer accumulation in the sigmoid colon with possible focal wall thickening. Finding is indeterminate in etiology, and consideration of colonoscopy should be obtained as clinically warranted. Of note, patient had a prior colonoscopy which demonstrated CMV colitis.
3. Increase of left lower extremity lymphedema.
FOLLOW-UP
1. Colonoscopy.
2. Physical Therapy for left lower extremity lymphedema.