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Detection of Hepatic Encephalopathy on 18F-FDG PET/CT Brain Images in a Patient With Decompensated Liver Cirrhosis

Vankadari, Kousik, DNB*; Mittal, Bhagwant Rai, MD, DNB*; Kumar, Rajender, MD*; Singh, Harmandeep, MD*; Bhattacharya, Anish, DNB, PhD*; Dhiman, Radha Krishan, MD

doi: 10.1097/RLU.0000000000002327
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We present a case of decompensated liver cirrhosis with ascites, which had history of asterixis, impaired balance with swaying gait along with mild irritability since 1 month. 18F-fluorodeoxyglucose PET/CT (FDG-PET/CT) performed to rule out malignancy did not reveal any abnormal FDG avid lesion suspicious for malignancy but showed hypermetabolism in the bilateral basal ganglia and thalamus with reduced metabolism in cerebral cortices and cerebellum, suggesting hepatic encephalopathy.

From the Departments of *Nuclear Medicine and PET/CT, and

Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Received for publication May 23, 2018; revision accepted September 6, 2018.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Rajender Kumar, MD, Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India. E-mail: drrajender2010@gmail.com.

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