Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 8 Issue 3

Utility of Tc 99m Lung Perfusion Scan for Diagnosis of Pulmonary Thromboemboli After Endobronchial Valve in a Case of Lobar Emphysema

Raheleh Hedayati1, Elham Kalantari2, Riahi Taghi3 and Forough Kalantari4*

1Assistant Professor of Nuclear Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
2Assistant Professor of Pulmonology, Department of Pulmonology, Isfahan University of Medical Science, Isfahan, Iran
3Assistant Professor of Pulmonary Diseases, Department of Internal Medicine, School of Medicine Hazrat-e Rasool General Hospital, Iran
4Assistant Professor of Nuclear Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

*Corresponding Author: Forough Kalantari, Assistant Professor of Nuclear Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Received: July 18, 2023; Published: February 08, 2024

Abstract

Introduction: Pulmonary embolism is a treatable condition however the diagnosis is challenging. It could be more complicated in patients with underlying cardiac and lung parenchymal diseases.

Case Presentation: A 66-year-old COPD presented with left hemithorax chest pain and a recent history of valve implantation by flexible bronchoscopy and chest tube insertion due to pneumothorax. Despite the low probability for PE based on lung perfusion study, due to high clinical suspicious, CT angiography performed and there was no pulmonary embolism.

Conclusion: This case emphasizes the need to correlate lung perfusion scan with CT or X-Ray results to avoid misinterpretation when assessing perfusion defects.

 Keywords: Pulmonary Interstitial Emphysema; Lung Perfusion Scan; Pulmonary Thromboemboli; Valve

References

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  2. Bajc M., et al. “EANM guidelines for ventilation/perfusion scintigraphy: part 2. Algorithms and clinical considerations for diagnosis of pulmonary emboli with V/P SPECT and MDCT”. European Journal of Nuclear Medicine and Molecular Imaging9 (2009): 1528-1538.
  3. Bajc M., et al. “EANM guidelines for ventilation/perfusion scintigraphy: part 1. Pulmonary imaging with ventilation/perfusion single photon emission tomography”. European Journal of Nuclear Medicine and Molecular Imaging8 (2009): 1356-1370.
  4. Stein PD., et al. “SPECT in acute pulmonary embolism”. Journal of Nuclear Medicine 12 (2009): 1999–2007.
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Citation

Citation: Forough Kalantari., et al. “Utility of Tc 99m Lung Perfusion Scan for Diagnosis of Pulmonary Thromboemboli After Endobronchial Valve in a Case of Lobar Emphysema”.Acta Scientific Medical Sciences 8.3 (2024): 29-32.

Copyright

Copyright: © 2024 Forough Kalantari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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