There are multiple FDG-avid axillary lymph nodes bilaterally. There are FDG-avid but non-enlarged mediastinal and left internal thoracic lymph nodes. No abnormal FDG uptake is seen within the lungs. There are multiple FDG-avid para-aortic, mesenteric, bilateral pelvic (including mesorectal) and bilateral inguinal lymph nodes, many of which are significantly enlarged on CT. An FDG-avid gluteal node is noted. The spleen shows mild diffusely increased FDG uptake with no focal lesion or enlargement.
Left axillary node: 41 x 33 mm, left external iliac node: 38 x 26 mm, right external iliac node: 59 x 28 mm, right inguinal node: 38 x 28 mm.