A 17-year-old adolescent boy’s known case of classical seminoma stage IB for which he underwent right radical orchiectomy. At the first-year follow-up, CT abdomen and pelvis was performed and showed lytic vertebral lesion with left paravertebral necrotic mass that warranted further investigation to exclude disease recurrence. FDG PET/CT scan was performed to evaluate the extent of disease and showed high uptake in the same areas. A biopsy was obtained from the hypermetabolic soft tissue lesion and did not reveal malignant cells. Subsequently, serologic tests were suggestive of brucellosis.
From the *Department of Radiology & Imaging, College of Medicine, Al Qassim University, Buraidah, Al Qassim;
†Department of Medical Imaging, Ministry of National Guard - Health Affaires;
‡King Abdullah International Medical Research Center; and
§King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Received for publication August 15, 2018; revision accepted February 18, 2019.
Conflicts of interest and sources of funding: none declared.
Correspondence to: Alaa Khalid Alduraibi, MBBS, Nuclear Medicine Section, Department of Radiology & Imaging, College of Medicine, Al Qassim University, Buraidah, Al Qassim, Saudi Arabia. E-mail: Dr.email@example.com.