Acute pulmonary embolism detected by perfusion SPECT/CT masquerading as an intermediate probability planar V/Q scan Journal Article


Authors: Lu, Y.; Fox, J. J.
Article Title: Acute pulmonary embolism detected by perfusion SPECT/CT masquerading as an intermediate probability planar V/Q scan
Abstract: A 51-year-old man with renal cell carcinoma, renal insufficiency, and a remote pulmonary embolism (PE) was referred for a ventilation-perfusion (V/Q) scan because of dyspnea and chest pain one day after left partial nephrectomy. Planar V/Q scan revealed an intermediate probability for PE. As the pretest probability for PE was high, a perfusion SPECT/CT was obtained, which clearly demonstrated a large segmental perfusion defect on a background of clear lung parenchyma, consistent with the presence of PE. Follow-up planar V/Q scan after 1 month of anticoagulation therapy was normal. © 2010 Lippincott Williams & Wilkins.
Keywords: adult; case report; follow up; computer assisted tomography; anticoagulant therapy; kidney failure; kidney carcinoma; dyspnea; lung embolism; pulmonary embolism; thorax pain; partial nephrectomy; warfarin; collimator; single photon emission computer tomography; spect; lung parenchyma; spect/ct; v/q scan; lung angiography; lung ventilation perfusion ratio
Journal Title: Clinical Nuclear Medicine
Volume: 35
Issue: 12
ISSN: 0363-9762
Publisher: Lippincott Williams & Wilkins  
Date Published: 2010-12-01
Start Page: 941
End Page: 943
Language: English
DOI: 10.1097/RLU.0b013e3181f9de54
PROVIDER: scopus
PUBMED: 21206226
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: CNMED" - "Source: Scopus"
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MSK Authors
  1. Josef J Fox
    44 Fox
  2. Yang Lu
    11 Lu