A 61-year-old man was referred to our hospital with a four-month history of dysphagia. These complaints were caused by a distal squamous cell carcinoma of the oesophagus. For staging of the oesophageal carcinoma the patient underwent 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) computed tomography (CT), performed one hour after administration of 192 Mbq 18F-FDG with a blood glucose level just prior to administration of 3.9 mmol/l. The 18F-FDG PET-CT revealed increased 18F-FDG uptake in the primary oesophageal carcinoma without evidence of (loco-regional) lymph node or distant metastases. The PET-CT also showed increased 18F-FDG uptake at several other areas (figure 1).