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Although 18 F-fluorodeoxyglucose (FDG) is the most extensively used tracer in oncological positron emission tomography/computed tomography (PET/CT) studies, various physiological as well as benign pathological conditions are known to cause false-positive results. This report describes 18 F-FDG PET/CT done in an elderly man with primary hepatocellular carcinoma, revealing a metastasis mimicking lesion in the left inguinal canal, which was identified as the herniated portion of the urinary bladder. Though rare, bladder herniation, especially with a narrow neck, can be a pitfall in the evaluation for metastatic disease. The study also highlights the utility of delayed imaging in the evaluation of pelvic pathology.

indian journal of nuclear medicine

Incidental detection of urinary bladder herniation in <sup>18</sup> F-fluorodeoxyglucose positron emission tomography/computed tomography mimicking as metastatic deposit in the inguinal canal

Incidental detection of urinary bladder herniation in 18 F-fluorodeoxyglucose positron emission tomography/computed tomography mimicking as metastatic deposit in the inguinal canal

Incidental detection of urinary bladder herniation in ¹⁸ F-fluorodeoxyglucose positron emission tomography/computed tomography mimicking as metastatic deposit in the inguinal canal