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. 2023 Jun 20;32(2):146–149. doi: 10.4274/mirt.galenos.2022.80774

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©Copyright 2023 by the Turkish Society of Nuclear Medicine / Molecular Imaging and Radionuclide Therapy published by Galenos Publishing House.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A 50-year-old woman patient presented with abdominal pain and was found to have massive ascites and had undergone¹⁸F-fluorodeoxyglucose (FDG) and ⁶⁸Ga-fibroblast activation protein inhibitor (FAPI)-04 positron emission tomography/computed tomography (PET/CT) imaging for a suspected gastric tumor. Abnormal liver activity was not observed on ¹⁸F-FDG PET/CT, but diffuse intense FAPI uptake [maximum standardized uptake value (SUV_max): 11.2] was seen in the liver on ⁶⁸Ga-FAPI-04 PET/CT. The hypodense area detected in CT sections [(A, D) arrow] at the right lobe of the liver did not show prominent ¹⁸F-FDG [(B) PET, (C) fusion images] or FAPI uptake [(E) PET, (F) fusion images] in the parenchyma. Also, no malignant cells were found in the peritoneal aspiration fluid. The patient is being followed up with the diagnosis of decompensated alcoholic cirrhosis.