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

A 99m Tc-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...

Full description

Saved in:
Bibliographic Details
Published in:Clinical nuclear medicine 2023-07, Vol.48 (7), p.e356-e357
Main Authors: Messerschmidt, Konstantin, Witt, Robin, Krischer, Lucas, Sabri, Osama, Hesse, Swen
Format: Article
Language:English
Subjects:
Cholangiocarcinoma - complications
Cholangiocarcinoma - diagnostic imaging
Female
Humans
Middle Aged
Pulmonary Embolism - complications
Pulmonary Embolism - diagnostic imaging
Radiopharmaceuticals
Single Photon Emission Computed Tomography Computed Tomography
Tomography, X-Ray Computed - methods
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 99m Tc-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.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000004680