Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 1003  
CASE REPORT
Year : 2014  |  Volume : 13  |  Issue : 3  |  Page : 197-200

Looking outside the "Cardiac" box: Incidental detection of a metastatic lung tumor on cardiac position emission tomography/computed tomography


Department of Nuclear Medicine, Central Manchester University Hospitals, Manchester, United Kingdom

Correspondence Address:
Mohamed Shawgi
Nuclear Medicine Centre, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL
United Kingdom
Login to access the Email id


DOI: 10.4103/1450-1147.144822

PMID: 25538493

Rights and Permissions

Incidental extracardiac findings are not uncommon in patients undergoing cardiac positron emission tomography/computed tomography (PET/CT) and some of these findings can have significant clinical impact. We report a case of a 74-year-old man who presented with dyspnea and left sided chest pain. 82-rubidium PET/CT imaging showed normal myocardial perfusion. Review of the low dose CT scan performed for attenuation correction purposes (CTAC) incidentally revealed a 4 cm mass in the left lung, which was histologically shown to be a squamous cell carcinoma. A subsequent staging CT showed chest wall metastases and rib destruction in the upper left thorax, which were outside the image reconstruction field of view of the CTAC. This report illustrates the importance of vigilant review of all acquired images by the PET/CT reader to look for extracardiac abnormalities that may explain symptoms in the absence of coronary artery disease. It also raises the question as to whether a larger field of CT image acquisition should be routinely performed to scan the entire chest during cardiac PET/CT imaging. However, the latter needs to be weighed against the increase in patient dose, which we estimated to be an additional 15%.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1530    
    Printed54    
    Emailed0    
    PDF Downloaded202    
    Comments [Add]    
    Cited by others 2    

Recommend this journal