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We report the PET-CT appearance of a metastasis from a primary colon cancer to the right kidney in an 84-year-old woman with a history of moderately differentiated adenocarcinoma of the cecum. The patient underwent right hemicolectomy and chemotherapy. Restaging PET-CT study, 4 months after her last chemotherapy, demonstrates a hypermetabolic soft-tissue mass in the inferior pole of the right kidney. The patient subsequently had a right partial nephrectomy. The pathology was consistent with metastatic colonic adenocarcinoma. Renal metastasis from primary colon cancer is very rare.

We report the PET-CT appearance of sclerotic bone mimicking active bone metastasis in a 57-year-old woman with right breast cancer and bone and hepatic metastases. Hybrid PET-CT was performed 1 month after completion of surgery and chemoradiation treatment. PET-CT demonstrated hypermetabolic foci in the right pulmonary hilum and liver. Increased hypermetabolic activity in L1 and L3 vertebral bodies was also seen corresponding to sclerotic vertebral bodies on CT study. The activity in L1 and L3 vertebral bodies was not visualized on nonattenuation-corrected images, consistent with an attenuation correction artifact resulting from extensive sclerosis in these regions.

We report the PET-CT appearance of actinomycosis in a 76-year-old man with a history of squamous cell carcinoma of the esophagus. The patient was initially treated with neoadjuvant chemoradiation therapy followed by esophagectomy and gastric pull-up. Hybrid PET-CT was performed 20 months after completion of treatment using a Siemens Biograph scanner 45 minutes after intravenous administration of 15 mCi of F-18 FDG. PET-CT demonstrated intense hypermetabolism to the left of the anastomosis, corresponding to a soft tissue mass on CT. The patient underwent biopsy of the mass 10 days after PET-CT examination that confirmed actinomycosis with no evidence of recurrent disease.

We report the F-18 FDG PET-CT appearance of recurrent gliosarcoma (GS) with extracranial extension in a 47-year-old man who underwent surgical resection of a right frontal GS 5 months earlier. F-18 FDG PET demonstrated moderate uptake in the recurrent disease. GS is a very rare, biphasic primary neoplasm of the central nervous system, composed of glioblastoma multiforme mixed with a sarcomatous component. It occurs in adults of middle age and carries a poor prognosis. The median survival reported is less than a year. The results suggest that F-18 FDG PET imaging may be useful in detecting recurrent GS.

We report the PET-CT appearance of recurrent Wilms tumor in the surgical bed with multiple metastatic sites in a 30-year-old man. He was initially diagnosed with Wilms tumor in the right kidney with involvement of the right adrenal gland and right renal vein into the inferior vena cava, for which he underwent a right nephrectomy, right adrenalectomy, and retroperitoneal lymph node dissection. Three months later, a restaging PET-CT study demonstrated multiple hypermetabolic lesions in the surgical bed region, the left adrenal gland, liver, thoracolumbar spine, retroperitoneal lymph nodes, and peritoneum.