Long-term indwelling copper intrauterine device (IUD) found during primary infertility work up.

Infertility is a public health concern worldwide. Hysterosalpingogram is a useful diagnostic tool to both evaluate the contours of the uterine cavity and to assess tubal patency. Intrauterine devices (IUDs) are the world's most prevalent form of long-acting reversible contraception. In this case, a 30-year-old P0 female, an immigrant from Jamaica, was referred for hysterosalpingogram for primary infertility workup. Under fluoroscopic imaging, an unexpected T-shaped IUD was visualized in the expected location of the uterus. The IUD lacked portions of the radiopaque copper lining. The patient initially denied IUD insertion. However, after further investigation, the patient's mother admitted IUD insertion at the age of 14 in Jamaica. This case raises a concern for the possibility of unexpected IUD discovery during infertility work up and emphasizes the importance of clinician awareness of the changes that may be seen on imaging when these devices are in place long-term.

Relevance of focal osseous uptake on FDG PET with or without CT changes in oncology patients.

OBJECTIVE: To assess significance of focal FDG uptake in osseous structures, with and without CT correlate, in patients undergoing FDG PET/CT for oncological indications. METHODS: 57 patients with focally increased FDG activity in bones and a definite follow up were included. RESULTS: 85.2% of lesions without changes were found to be malignant. Sensitivity and PPV of a CT correlate in metastatic lesions was expectedly high, 62.9% and 86.7% respectively, however, the NPV was only 14.8%. CONCLUSION: Osseous foci are valuable in predicting metastatic disease even in the absence of low dose CT correlate.

Utility of fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography in a child with chronic granulomatous disease.

We report the fluorodeoxyglucose positron emission tomography/computed tomography (FDG - PET/CT) findings in an 11-month-old boy with suspected milk protein allergy, presented to the hospital with 2-month history of fever of unknown origin and failure to thrive. It showed FDG avid lymphadenopathy above and below the diaphragm and splenic focus, which could represent diffuse inflammatory process or lymphoma. Subsequent jejunal biopsy showed non-necrotizing granulomas.