Bronchopulmonary sequestration as a cause of mismatched perfusion defect on single-photon emission computed tomography ventilation-perfusion scan
We present a 46-year-old female with pleuritic chest pain on a background of pulmonary embolism diagnosed on a single-photon emission computed tomography (SPECT) ventilation-perfusion (V/Q) imaging 3 years earlier. A SPECT V/Q scan detected a mismatched perfusion defect in the posterior basal segment of the right lower lobe, essentially unchanged from a defect identified 3 years earlier. Given the atypical finding, the patient went on to have a computed tomographic pulmonary angiogram. It revealed an intralobar bronchopulmonary sequestration as the cause of the right lower lobe mismatched perfusion defect. With growing awareness of radiation safety, the number of V/Q imaging studies being undertaken to investigate suspected pulmonary emboli, especially in young female patients, has increased. This case report serves as a timely reminder of the potential pitfalls associated with V/Q scan image interpretation.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Bronchopulmonary sequestration as a cause of mismatched perfusion defect on single-photon emission computed tomography ventilation-perfusion scan ; volume:17 ; number:01 ; year:2018 ; pages:59-61
World Journal of Nuclear Medicine ; 17, Heft 01 (2018), 59-61
- Beteiligte Personen und Organisationen
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Kreltszheim, Michael
Brown, Nick
Lee, Joseph
- DOI
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10.4103/wjnm.WJNM_3_17
- URN
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urn:nbn:de:101:1-2022070709231305026948
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
- 15.08.2025, 07:27 MESZ
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Beteiligte
- Kreltszheim, Michael
- Brown, Nick
- Lee, Joseph