A 39-year-old female with uterine cervical cancer. (a) The unenhanced CT scan shows a lesion measuring approximately 15 mm in the left adrenal nodule (arrow) with homogeneous attenuation (22 HU). (b) On integrated PET/CT scan, the lesion shows a high 18F-FDG uptake (SUVmax ratio 4.8). (c) A high 18F-FDG uptake lesion (SUVmax ratio 5.0) is shown in the left upper lung. (d) At follow-up 8 months later after appropriate chemotherapy, integrated PET/CT scan shows interval increases in size and aggravated 18F-FDG uptake (SUVmax ratio 12.1). The left adrenal lesion did prove to be metastasis. 18F-FDG, flourine-18 fludeoxyglucose; PET, positron emission tomography; SUVmax, maximum standardised uptake value.