Resolution of Ga-67 citrate uptake in the left neck mass of Hodgkin's disease and reversion of double scoliosis of cervical-thoracic and lower lumbarvertebrae

A 6-yr-old boy underwent a total body Ga-67 citrate imaging study because o f a large mass of Hodgkin's lymphoma in the left neck and the left anterior chest wall region. The images showed intense uptake in the left neck exten ding anteroinferiorly to the left upper chest wall corresponding to the lef t neck and chest region. In addition, there was mild cervical-upper thoraci c scoliosis with convexity to the right and mild scoliosis of the lower lum bar scoliosis with concavity to the left. After three cycles of chemotherap y, in the follow-up Ga-67 citrate total body images seven months after his first Ga-67 citrate imaging, the: intense uptake in the left neck and the l eft upper chest wall had been resolved and the scoliosis of the cervical-th oracic and lower lumbar spine had also been reversed to normal. This case s hows that a Ga-67 citrate imaging study is useful for first diagnosis and s ubsequent monitoring of the therapeutic effects in a follow-up imaging. Als o Ga-67 citrate imaging provided evidence that the scoliosis had been rever sed.