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Interact CardioVasc Thorac Surg 2006;5:446-447. doi:10.1510/icvts.2006.130005
© 2006 European Association of Cardio-Thoracic Surgery

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John Alfred Carr
Jeffrey M. Silver
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Negative results - Thoracic general

The false assumption of lung cancer based upon a positive positron emission tomographic scan

John Alfred Carr* and Jeffrey M. Silver

Northern Illinois Cardiovascular & Thoracic Specialists, 1100 West Central Road, Suite 408, Arlington Heights, IL 60005, USA

*Corresponding author. Tel.: +1 (847) 788-1553; fax: +1 (847) 788-1585.

E-mail address: heartandbones{at}yahoo.com (J.A. Carr).

Objective: To show that positron emission tomography (PET) can have false positive results from inflammatory lesions. Methods: We present a complicated, elderly patient who underwent an extensive work-up that failed to provide a diagnosis for a radiographic abnormality. Results: A PET scan was positive and the patient was believed to have lung carcinoma until eventual surgical excision was performed. Final pathology revealed that the patient had exogenous lipoid pneumonia. Conclusions: PET scans that are positive cannot be assumed to show a malignancy. Inflammatory lesions will also be positive with PET scanning.

Key Words: Lipoid pneumonia; PET scan; Inflammatory lesion







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