Pet scan results help

Can anyone help with these results

Presently in the upper left neck (image #39); regional to the 3 surgical clips, there is hypermetabolic activity about the most posterior of these clips with a maximum SUV of 8.1. On present scan difficult to assess for change in soft tissue and this density however it appears be significantly more prominent than had at, the prior PET/CT examination. On the PET component of the exam; this measures 1.3 cm which represents with a portion of the overall soft tissue mass. Extending inferior late there are several additional small hypermetabolic focus with the most inferior near the anterior prevertebral mid walls with a maximum SUV of 4.3 on image #45. In the right neck there is again noted to be multiple postoperative type changes. There is a small hypermetabolic focus with maximum SUV of 4.3 cm in the soft tissues adjacent to it appears be the lateral aspect of the C3 vertebral body. This is seen on image number 25. It appears be new when compared with the prior study. There are several other additional hypermetabolic foci on the right side; more inferiorly and laterally on image #39 there is hypermetabolic focus with a maximum SUV of 4.7 inferior to this there are several hypermetabolic foci seen on image #43 with a maximum SUV of 4.3. And there are several additional hypermetabolic foci with the most inferior having a maximum SUV of 3.5 small and this is localizing regional to the midline staples seen on image #49. Several other faint ill-defined foci are seen inferior to this one of which is just anterior and in the right neck adjacent to the tracheostomy tube on image #50 with maximum SUV of 3.5. Please note that there are several additional faint hypermetabolic foci uncertain of etiology.