Fig. 1.
Tc-99 m sestamibi dual phase planar imaging of neck and mediastinum at early 10 min (a), at 1 h delayed (b) and at 2 h delayed (c) revealed no abnormal tracer distribution anywhere in neck and mediastinum region. SPECT/CT imaging (early); maximal intensity projection (MIP) image (d) of neck and mediastinum show only physiological tracer uptake of MIBI. The transaxial CT image (e) showed ill-defined soft tissue in right paravertebral region. The fused transaxial SPECT/CT image (f) showed no focal tracer avidity in the corresponding region. F-18 fluorocholine PET/CT imaging; MIP image (g) showed a small tracer avid focus in the right side of lower neck (arrow). The transaxial CT image (h) showed a small soft tissue lesion in right pre-vertebral area at the level of C4 vertebra (arrow). The fused transaxial PET/CT image (i) acquired at 1 h showed tracer avidity in the corresponding soft tissue lesion (arrows)