Pulmonary Embolism Detected by Bone Scintigraphy in a Patient With Intrahepatic Cholangiocarcinoma

被引:0
|
作者
Messerschmidt, Konstantin [1 ]
Witt, Robin [2 ]
Krischer, Lucas [3 ]
Sabri, Osama [1 ]
Hesse, Swen [1 ]
机构
[1] Univ Leipzig, Dept Nucl Med, Med Ctr, Liebigstr 18, D-04103 Leipzig, Germany
[2] Univ Leipzig, Med Ctr, Dept Diagnost & Intervent Radiol, Leipzig, Germany
[3] Univ Leipzig, Dept Orthoped Trauma & Plast Surg, Med Ctr, Leipzig, Germany
关键词
pulmonary; embolism; bone; scintigraphy; DPD; SPECT/CT; DEEP VENOUS THROMBOSIS; SECONDARY;
D O I
10.1097/RLU.0000000000004680
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 99mTc-DPD bone scintigraphy with SPECT/CT was performed in a 64-year-old woman with intrahepatic cholangiocarcinoma to exclude osseous metastases. The images demonstrated central focal tracer uptake in the left lung without any visible morphological correlate in the low-dose CT scan. For further clarification, a contrast-enhanced CT scan was carried out, which revealed a subsegmental pulmonary artery embolism in the left lower lobe. Subsequently, the patient was therapeutically anticoagulated. This case highlights the importance of clarifying focal pulmonary uptake in order not to overlook concomitant diseases. © Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:E356 / E357
页数:2
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