Imaging metastatic esophageal carcinoma with CT and PET CT

An axial CT image through the mid chest shows a large esophageal mass (arrow). Image B is a PET CT and shows a hypermetabolic mass (arrow). Image C is an axial CT image through the thoracic inlet and shows large lymph nodes alongside the brachiocephalic arteries (arrows). Image D is a PET CT showing hypermetabolic activity in the nodes indicating metastatic disease.