COVID-19 Vaccine-Related Local FDG Uptake

Mohan Doss1, Shazia K Nakhoda2, Yi Li1

  • 1From the Nuclear Medicine and PET Service, Department of Diagnostic Imaging.

Insights

Increased FDG uptake in lymph nodes after COVID-19 vaccination is a potential finding. This case highlights the importance of considering recent vaccination when interpreting PET/CT scans in lymphoma patients.

Area of Science:

  • Oncology
  • Immunology
  • Radiology

Background:

  • Positron Emission Tomography/Computed Tomography (PET/CT) is crucial for cancer staging and monitoring.
  • COVID-19 vaccination is widespread and can elicit immune responses.

Observation:

  • A 70-year-old female with relapsed Hodgkin lymphoma underwent PET/CT scan.
  • The scan revealed increased fluorodeoxyglucose (FDG) uptake in the left deltoid muscle and left axillary lymph nodes.
  • The patient had received the Pfizer-BioNTech COVID-19 vaccine two days prior.

Findings:

  • The observed increased FDG uptake in lymph nodes is consistent with an immune response to the COVID-19 vaccine.
  • This finding mimics potential disease recurrence or metastasis in lymphoma patients.

Implications:

  • Radiologists and oncologists must be aware of post-vaccination imaging changes.
  • Considering vaccination status can prevent misinterpretation of PET/CT scans, avoiding unnecessary interventions.