Acute Pulmonary Embolism Detected by Perfusion SPECT/CT Masquerading as an Intermediate Probability Planar V/Q Scan

被引:3
作者
Lu, Yang [1 ]
Fox, Josef J. [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Nucl Med Serv, Dept Radiol, New York, NY 10065 USA
关键词
pulmonary embolism; SPECT/CT; V/Q scan; SPECT; SCINTIGRAPHY; DIAGNOSIS; CT;
D O I
10.1097/RLU.0b013e3181f9de54
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 51-year-old man with renal cell carcinoma, renal insufficiency, and a remote pulmonary embolism (PE) was referred for a ventilation-perfusion (V/Q) scan because of dyspnea and chest pain one day after left partial nephrectomy. Planar V/Q scan revealed an intermediate probability for PE. As the pretest probability for PE was high, a perfusion SPECT/CT was obtained, which clearly demonstrated a large segmental perfusion defect on a background of clear lung parenchyma, consistent with the presence of PE. Follow-up planar V/Q scan after 1 month of anticoagulation therapy was normal.
引用
收藏
页码:941 / 943
页数:3
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