The mediastinal nodal disease is intensely metabolically active. Above the diaphragm, metabolically active nodes extend from the bilateral cervical level 5 nodes inferiorly with almost all mediastinal nodal stations involved. The lowest metabolically active thoracic node is located in a lower para-oesophageal station.
Intense uniform symmetrical uptake is also evident in the submandibular glands although this may be physiological. Heterogeneous uptake is apparent in the parotids bilaterally.
Below the diaphragm focal uptake in the right pelvis is noted. A small 8mm right iliac node is seen adjacent to the activity, and there may be slight misregistration. The alternative is that of physiological urinary activity.
Mild uptake in subcapsular hepatic segment 4a noted.
Mild uptake in the lung bases is evidently associated with mild basal interstitial thickening, likely inflammatory.
Physiological uptake is evident elsewhere.