Figure 2

The second interim F ¹⁸ -fluorodeoxyglucose-positron emission tomography/computed tomography after cycles of cisplatinum, cytarabine, and dexamethasone, and etoposide, ifosfamide and methotrexate, showing decreased metabolic activity in the three lesions in the left lung indicating partial response. However, new pathological increased fluorodeoxyglucose uptake is seen in multiple bilateral cervical plus axillary lymph nodes and furthermore increased metabolic activity in the spleen and in a lymph node within the high-right para-aortal and in a lower-right mesenteric lymph node (black arrows). Virus serology was positive for Epstein–Barr virus.