1. Presented by Peter Illei, M.D. and prepared by Safia Salaria, M.B.B.S.

This 63-year-old woman initially presented a few months ago with an unintentional 20 pounds weight loss over the past 3 months, decreased appetite, and low energy. A CT scan of the abdomen and pelvis showed multiple lesions in the liver consistent with metastatic disease. Subsequent PET scan showed several FDG-avid lesions in the hemi-liver with the largest in the right hemi-liver.She has no other evidence of hypermetabolic activity in the rest of her body.

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