幫我翻譯核子醫學檢查報告 拜託 !!!!!!

In the thorax, non FDG avid lung opacities are seen at left upper lobe (slice 43, sizes about 1 cm)& right lower/upper lobes(sizes~1.4CM).

Non FDG avid lymph nodes are seen, likely reactive changes:
1/ para-aortic (slice 45 , size 1cm)
2/ precaval (slice 46,sice 4mm)
No other axillary/internal mammary/mediastinal lymph node uptake focus/ significant lymphadenopathy seen. The esophagus is unremarkable .No definite breast mass/ uptake focus seen. Non FDG avid hypodense bilateral thyroid nodules max. sized 1cm. Cardiomegaly with non FDG avid pericardial effusion of max. thickness 8mm. Mildly non FDG avid left pleural effusion. No uptake focus seen at neck/ thoracic inlet blood vessels and aorta.

In the abdomen, no uptake focus seen in liver, spleen , adrenals, pancreas and kidneys. Relatively prominent FDG uptakes are seen at distal small bowel and proximal ascending colon. The bowel FDG uptakes is within normal otherwise. No lymph node uptake focus/ significant lymphadenopathy seen at abdomen and pelvis. No ascites seen. Foci of left perinephric brown fat activities are seen. Apparent hypermetabolic tissues seen around left posterior bladder wall (only in delayed images, SUVmax. 28,size~1.5cm). No hepatosplenomegaly.

No hypermetabolic bone lesion seen within scope of the scan. No lytic or sclerotic bone lesion seen. Marrow FDG uptakes are within normal. No abnormal skin/ muscle focus seen within scope of the scan.

Impression:

1. No uptake focus seen at neck/ thoracic inlet blood vessels and aorta, which suggests absence of active vasculitis , ?related to treatment.
2. Non FDG avid bilateral lung opacities , DDX: infection, inflammation.
3. Cardiomegaly with non FDG avid pericardial effusion of thickness 8mm. Suggest clinical correlation and workup.
4.Mildly non FDG avid left pleural effusion.