Increased 18 F-Fluoroestradiol Uptake of Radiation Pneumonitis in a Patient With Metastatic Breast Cancer

Clin Nucl Med. 2023 May 1;48(5):437-438. doi: 10.1097/RLU.0000000000004609. Epub 2023 Feb 17.

Abstract

A 42-year-old woman diagnosed with de-novo stage IV breast cancer underwent 18 F-fluoroestradiol (FES) PET/CT to evaluate the estrogen receptor status of metastatic lesions. The largest pulmonary nodule showed obvious FES uptake, consistent with pulmonary metastases from breast cancer. Interestingly, the images revealed a striking accumulation of FES in ground-glass attenuation in the left lobe of lung, suggestive of radiation pneumonitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Breast Neoplasms* / pathology
  • Breast Neoplasms* / radiotherapy
  • Estradiol
  • Female
  • Humans
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography / methods
  • Radiation Pneumonitis* / diagnostic imaging
  • Receptors, Estrogen

Substances

  • Estradiol
  • Receptors, Estrogen