Indian Journal of Nuclear Medicine
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INTERESTING IMAGES
Year : 2015  |  Volume : 30  |  Issue : 4  |  Page : 362-363

Lung or liver: An imaging dilemma on Tc-99m macroaggregated albumin lung perfusion scintigraphy


Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Ashwani Sood
Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: Nil., Conflict of Interest: None declared.


DOI: 10.4103/0972-3919.164056

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We present a 10-year-old boy having the bronchiectasis who was subjected to lung perfusion scintigraphy before lung resection surgery to assess the lung parenchymal function. It revealed unusual tracer distribution in right upper body that was mimicking to be liver. It was unusual unless there were some shunts bypassing the lung uptake or faulty radiopharmaceutical preparation. However by bringing down the image window, it became clear that radiopharmaceutical distribution was in thorax only correlating with lung uptake, and not in the liver. Corresponding X-ray chest and computed tomography thorax demonstrated multiple cystic lesions in left lung parenchyma.


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