Case 38



Dr Marina-Portia Anthony /Dr Tao Chan
Clinical notes
A 1 year-old male presented with prolonged fever and lymph node enlargement after liver transplantation for biliary cirrhosis.
Images
Figure 1. Axial contrast-enhanced CT (A) and fused FDG-PET/CT images (B) of the upper abdomen.
Figure 2. Axial contrast-enhanced CT (A) and fused FDG-PET/CT images (B) through the inguinal regions.
Figure 3. Axial unenhanced CT (A) and fused FDG-PET/CT images (B) through the kidneys.
Figure 4. Reformatted sagittal contrast-enhanced CT (A) and fused FDG-PET/CT images (B) through the nasopharynx.

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Findings
Diagnosis
Discussion

References
  1. von Falck C, Maecker B, Schirg E, et al. Post transplant lymphoproliferative disease in pediatric solid organ transplant patients: a possible role for [18F]-FDG-PET(/CT) in initial staging and therapy monitoring. Eur J Radiol. 2007;63(3):427-35.
  2. Bakker NA, van Imhoff GW, Verschuuren EA, et al. Presentation and early detection of post-transplant lymphoproliferative disorder after solid organ transplantation. Transpl Int. 2007;20(3):207-18.
  3. McCormack L, Hany TI, H?bner M, et al. How useful is PET/CT imaging in the management of post-transplant lymphoproliferative disease after liver transplantation? Am J Transplant. 2006;6(7):1731-6.