Based on the PET and history you mentioned , this is suggestive of a disease recurrence with distant metastasis - disease that have spread outside the primary site and primary lymph node draining areas .
This is advanced stage of the disease .
Next Steps
Please consult your oncologist at the earliest - based on the health status of patient , we can decide how to go ahead in treatment
Health Tips
Report suggestive of a progressive disease, want clinical correlation and history to give you more information.