Case of the month – June 2025
“A Ferocious Dizziness” – Charles Carron
This section presents selected clinical cases illustrating diagnostic challenges and practical applications in nuclear medicine. Each case offers concise insights into interpretation, decision-making, and everyday clinical practice to support continuous professional learning.
“A Ferocious Dizziness” – Charles Carron
“Intrahepatic lesions: when an old tool is still useful” – Grégory Omatuku
“Recurrent cerebellar ataxia and encepahlitis in a 16-year-old patient occured to be panaoplastic syndrom from Hodgkin’s Lymphoma” – Thibault Vanbutsele
“Where is the leak? Lymphoscintigraphy to the rescue!” – Martin Manley
“What is behind a basithoracic pain ?” – Irina Lazarenko
“Bladder Bomb” – Pieter Claes
“Don’t stress, relax!” – Lennert Boeckxstaens
“H₂¹⁵0 PET: Water you doing here?” – Martin Manley
“All that glitters, is not gold” – Juanito Gebruers
“Look deep into my eyes” – Lynn De Mey
“A New Hope” – I3I-Iodine Uptake in Anaplastic Thyroid Carcinoma
Infection or inflammation? That’s the question Dynamic 18F-FDG PET/CT by a fracture-related infection
A MYSTERIOUS CASE OF A PERSISTENT HYPERMETABOLISM IN THE BONE MARROW
18-FDG PET/CT of Takayasu arteritis in a 13-year-old girl
Progressively worsening back pain in a 16 year old patient Odrade Gondry – Universitair Ziekenhuis Brussel, Nuclear Medicine Departement
Bilateral hot caudate nuclei, what diagnosis to be raised? S. Marchiori, MD, Division of Nuclear Medicine and Oncological Imaging, CHU of Liège
Inflammation PET: Don’t forget the head Boeckxstaens1, D. Blockmans2, K. Van Laere 1,31 Nuclear Medicine, University Hospitals Leuven, Leuven, Belgium / 2 General Internal Medicine, University Hospitals Leuven, Leuven, Belgium3 Nuclear Medicine and Molecular Imaging, Department of Imaging & Pathology, KU Leuven, Leuven, Belgium
Concomitant finding of a large vessel vasculitis and a colorectal neoplasia on FDG PET/CT Isaac Kargar Samani MD, Bruno Krug MD, PhD, Anne-Sophie Pirson MD & Thierry Vander Borght MD, PhD Department of nuclear medicine, CHU UCL Namur, Godinne site, Université catholique de Louvain, Belgium
FDG-PET demonstrating the tip of the iatrogenic iceberg dr. Ciska-Anne Van Keerberghen et al. (Jessa Ziekenhuis)
COVID-19 Post-Vaccinal Lymphadenopathy Mimicking Lymph Node Metastases From Breast Neoplasia Fabrice Fokoue, Institut Jules Bordet
Another differential diagnosis for lymphoma: Rosai-Dorfman syndrome Géraldine Lens, AZ Sint Jan Brugge
C(AVE)AT dr. Astrid Geysen et al. (UZ Leuven)
Soft-tissue sarcoma mimicking prostate cancer progression evidenced on 68Ga-PSMA-11 PET/CT. Qaid Ahmed Shagera, ULB
Evaluation of myocardial uptake of Radium-223 during Xofigo® radiopharmaceutical treatment in a patient with metastatic prostate cancer and cardiac amyloidosis. Martin Manley, KU Leuven
Keeping up appearances may cause harm: a breast-implant induced anaplastic large cell lymphoma appearing on [18F]FDG-PET/CT. dr. Sim Vermeulen et al. (AZ Sint Jan Brugge)
18F-FDG PET/CT uptake by axillary lymph nodes following COVID-19 vaccination: a potential pitfall in oncological patients.
Wide QRS complex tachycardia 18F-FDG PET/CT and MRI. Steven Van Schandevyl, MD Promotor: Prof. I. Goethals, MD, PhD
Elevated inflammatory markers 18F-FDG PET/CT Steven Van Schandevyl, MD Promotors: Prof. I. Goethals, MD, PhD – K. De Man, MD
An unclear cause of hyperinsulinemia.
Lung FDG foci without parenchymal abnormality.
A rare multi-organ finding in 18F-FDG PET-CT
An unusual culprit of fever of unknown origin
Unexpected nature of pulmonary nodules
Challenging diagnosis in a patient undergoing checkpoint inhibitors immunotherapy
Unusual findings on 18FDG PET-CT due to an overactive reflex
Hypercalcemia and a positive parathyroid scintigraphy: “Think different”
Mimics on FDG-PET/CT
Case of the Month February 2019: Black beard sign
Case of the Month January 2019: Splenic Scintigraphy NET or not?
Case of the month December 2018: A case report of 18F-FDG/PET-CT findings in disseminated histoplasmosis in a HIV infected patient
Case of the Month November 2018: Leg pain and swelling, dyspnoea in combination with perfusion defects on lung scintigraphy: a straightforward diagnosis?