Figure 5: An FDG PET scan showed metabolically active metastatic deposits in soft tissues and lymph nodes metastatic predominantly along the medial aspect of the right lower limb along the lymphatic chain from the inguinal region to ankle as well as the medial aspect of the left upper arm. Multiple FDG avid lymph nodes were also seen in the right upper paratracheal, right inguinofemoral, and intermuscular plane in the right thigh. Metabolically active metastatic deposits were also noted in the lungs, pancreatic tail, and right lower anterior abdominal wall and both lobes of the bulky thyroid gland