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Case Reports in Medicine
Volume 2009, Article ID 650864, 3 pages
http://dx.doi.org/10.1155/2009/650864
Case Report

Pleural FDG Uptake More Than a Decade after Talc Pleurodesis

1Department of Pulmonary Diseases, Canisius-Wilhelmina Hospital, 6525 SZ Nijmegen, The Netherlands
2Department of Nuclear Medicine, Radboud University Nijmegen Medical Centre, 6525 GA Nijmegen, The Netherlands

Received 16 March 2009; Accepted 9 June 2009

Academic Editor: Steven A. Sahn

Copyright © 2009 Hilke Peek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Talc pleurodesis induces a strong local inflammatory reaction which can be detected by PET scan for years after the procedure. When patients undergo PET scanning in the workup of a suspected malignancy later in life, pleural FDG uptake may unnecessarily lead to an additional invasive diagnostic workup. We present two cases of positive pleural PET findings more than 10 years after talc pleurodesis, where we adopted a watchful waiting approach. Positive pleural PET findings as a result of prior talc pleurodesis should always be included in the differential diagnosis of pleural abnormalities.