Bone metastasis on Tc99-m sestamibi myocardial perfusion scan
A 75-year-old woman presented to our department for a stress myocardial perfusion imaging study with Tc99m-sestamibi. Incidental focal uptake, found in the left upper anterior chest, was initially felt to be located in the left breast. After additional single-photon CT imaging was performed the same...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-01-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043315300935 |
| _version_ | 1819232346932510720 |
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| author | Lachin Hatemi, MD Feraas Jabi, MD |
| author_facet | Lachin Hatemi, MD Feraas Jabi, MD |
| author_sort | Lachin Hatemi, MD |
| collection | DOAJ |
| description | A 75-year-old woman presented to our department for a stress myocardial perfusion imaging study with Tc99m-sestamibi. Incidental focal uptake, found in the left upper anterior chest, was initially felt to be located in the left breast. After additional single-photon CT imaging was performed the same day, extracardiac foci within the ribs, spine, and left lung (worrisome for active metastases) were shown to be present, with the initial focus located within a left rib rather than a breast. A review of previous radiographic and nuclear imaging studies confirmed metastatic disease from recurrent follicular thyroid cancer. Atypical focal extracardiac activity must be closely scrutinized for the possibility of malignancy, as Tc99m-sestamibi (in addition to being myocardium-avid) is tumor-avid. |
| first_indexed | 2024-12-23T11:59:24Z |
| format | Article |
| id | doaj.art-977674f33cf44904bdc3f15a37557bae |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-23T11:59:24Z |
| publishDate | 2014-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-977674f33cf44904bdc3f15a37557bae2022-12-21T17:48:00ZengElsevierRadiology Case Reports1930-04332014-01-019410.2484/rcr.v10i1.910Bone metastasis on Tc99-m sestamibi myocardial perfusion scanLachin Hatemi, MDFeraas Jabi, MDA 75-year-old woman presented to our department for a stress myocardial perfusion imaging study with Tc99m-sestamibi. Incidental focal uptake, found in the left upper anterior chest, was initially felt to be located in the left breast. After additional single-photon CT imaging was performed the same day, extracardiac foci within the ribs, spine, and left lung (worrisome for active metastases) were shown to be present, with the initial focus located within a left rib rather than a breast. A review of previous radiographic and nuclear imaging studies confirmed metastatic disease from recurrent follicular thyroid cancer. Atypical focal extracardiac activity must be closely scrutinized for the possibility of malignancy, as Tc99m-sestamibi (in addition to being myocardium-avid) is tumor-avid.http://www.sciencedirect.com/science/article/pii/S1930043315300935 |
| spellingShingle | Lachin Hatemi, MD Feraas Jabi, MD Bone metastasis on Tc99-m sestamibi myocardial perfusion scan Radiology Case Reports |
| title | Bone metastasis on Tc99-m sestamibi myocardial perfusion scan |
| title_full | Bone metastasis on Tc99-m sestamibi myocardial perfusion scan |
| title_fullStr | Bone metastasis on Tc99-m sestamibi myocardial perfusion scan |
| title_full_unstemmed | Bone metastasis on Tc99-m sestamibi myocardial perfusion scan |
| title_short | Bone metastasis on Tc99-m sestamibi myocardial perfusion scan |
| title_sort | bone metastasis on tc99 m sestamibi myocardial perfusion scan |
| url | http://www.sciencedirect.com/science/article/pii/S1930043315300935 |
| work_keys_str_mv | AT lachinhatemimd bonemetastasisontc99msestamibimyocardialperfusionscan AT feraasjabimd bonemetastasisontc99msestamibimyocardialperfusionscan |