WHOLE BODY I-131 SCAN WITH THYROGEN

DATE: 10/4/2005 for imaging.

PROCEDURE:  Following oral administration of 131-Iodine, whole body scans were obtained in the anterior and posterior projections after a 2-day uptake period.  Patient was premedicated with thyrogen.

131-Iodine DOSE: [4] mCi

COMPARISON: None

CLINICAL HISTORY: The patient is a [...]-year-old [fe]male with a history of [...] and papillary thyroid carcinoma status post thyroidectomy and Iodine-131 ablative therapy. Now referred for evaluation of possible disease recurrence.

FINDINGS:  

Normal Iodine accumulation is noted in the salivary glands and stomach.  No abnormal Iodine activity is identified.

Unchanged focus of increased tracer activity in the mid-anterior neck.  The liver demonstrates mild homogeneous tracer uptake with no discreet focus. No other abnormal activity is identified. 

Physiologic tracer activity is seen salivary glands, in the urinary bladder as well in as the remainder of the head, neck, chest, abdomen and pelvis.  

CONCLUSIONS: 

Normal study demonstrating no evidence of recurrent iodine avid carcinoma or of metastatic disease.

No evidence for functioning thyroid or tumor tissue. 

No evidence of distant metastasis. 

Unchanged focus of increased tracer activity in the mid-anterior neck, consistent with residual thyroid tissue/cancer.  

Thank you for referring this patient to the UCLA Nuclear Medicine Clinic.
 
I, [...], M.D., Ph.D., have reviewed this Nuclear Medicine study personally, and am in full agreement with the findings of the report presented here.