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J Korean Soc Radiol. 2017 Feb;76(2):126-137. English. Case Report. https://doi.org/10.3348/jksr.2017.76.2.126
Yoon YR , Kim SY , Lee SM , Lee DY .
Department of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. taloo@hanmail.net
Department of Nuclear Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Department of Surgery, Younsei Angelot Women's Clinic, Cheonan, Korea.
Abstract

The increasing use of positron emission tomography-computed tomography (PET/CT) has led to the frequent detection of incidental thyroid and neck lesions with increased ¹⁸F-deoxyglucose (FDG) uptake. Although lesions with increased FDG uptake are commonly assumed to be malignant, benign lesions may also exhibit increased uptake. The purpose of this pictorial essay is to demonstrate that benign thyroid and neck lesions can produce false-positive findings on PET/CT, and to identify various difficulties in interpretation. It is crucial to be aware that differentiating between benign and malignant lesions is difficult in a considerable proportion of cases, when relying only on PET/CT findings. Correlation of PET/CT findings with additional imaging modalities is essential to avoid misdiagnosis.

Copyright © 2019. Korean Association of Medical Journal Editors.