Lung uptake on a bone scan: a case of pulmonary Waldenstrom's macroglobulinemia

Pulmonary involvement secondary to Waldenstrom's macroglobulinemia (WMG) is described in a 40-year-old male by incidental findings on a bone scan. He was examined for right leg pain, and bone scan revealed unexpected pulmonary uptake of Tc-99m MDP. CT scan of the thorax revealed pleural effusio...

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Bibliographic Details
Published in:Annals of nuclear medicine 2002-11, Vol.16 (7), p.487-489
Main Authors: Ortapamuk, H, Alp, A
Format: Article
Language:English
Subjects:
Adult
Biopsy
Bone and Bones - diagnostic imaging
Computed tomography
Disease
Humans
Incidental Findings
Infiltration
Leg - diagnostic imaging
Lung - diagnostic imaging
Lung - metabolism
Lung - pathology
Lung Diseases - diagnostic imaging
Lung Diseases - etiology
Lung Diseases - metabolism
Lung Diseases - pathology
Lungs
Macroglobulinemia
Male
Morbidity
Pain - diagnostic imaging
Pain - etiology
Pleural effusion
Radionuclide Imaging
Radiopharmaceuticals - pharmacokinetics
Technetium Tc 99m Medronate - pharmacokinetics
Thorax
Waldenstrom Macroglobulinemia - complications
Waldenstrom Macroglobulinemia - diagnostic imaging
Waldenstrom Macroglobulinemia - metabolism
Whole-Body Counting
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Description
Summary:Pulmonary involvement secondary to Waldenstrom's macroglobulinemia (WMG) is described in a 40-year-old male by incidental findings on a bone scan. He was examined for right leg pain, and bone scan revealed unexpected pulmonary uptake of Tc-99m MDP. CT scan of the thorax revealed pleural effusion and slightly disseminated micronoduler density increase in the right lung and parenchymal infiltration in the left lung. Transdermal lung biopsy demonstrated diffuse infiltration of lymphoplasmocytoids. Reporting the presence of pulmonary involvement is important because it may prevent morbidity from pulmonary dysfunction.
ISSN:0914-7187
1864-6433
DOI:10.1007/BF02988647