Nuclear Medicine Imaging A Teaching File

by Habibian, M. Reza; Delbeke, Dominique; Martin, William H.; Sandler, Martin

• ISBN13: 9780683301229
• ISBN10: 0683301225
• Edition: 2nd
• Format: Hardcover
• Copyright: 1999-06-04
• Publisher: LWW

Summary

Nuclear Medicine Imaging: A Teaching File is a collection of approximately 450-500 cases grouped by organ system that residents can study to test themselves. Each case features images, a history, brief discussion, differential diagnosis and the diagnosis, allowing readers to evaluate an image as though they were in the reading room.

Table of Contents

Contributors	xvii
Publisher's Foreword	xix
Foreword	xxi
Preface	xxiii
Acknowledgments	xxv
Endocrine Imaging	1	(50)
Martin P. Sandler
William H. Martin
Edward B. Moody
Benign Follicular Adenoma	4	(2)
Lingual Thyroid	6	(1)
Follicular Carcinoma of the Thyroid with Widespread Metastases	7	(3)
Thyroid Dyshormonogenesis	10	(2)
Viral Thyroiditis	12	(2)
Graves' Disease	14	(3)
Autonomously Functioning Thyroid Nodule	17	(4)
Thyroid Goiter with Mediastinal Extension	21	(3)
Multinodular Goiter	24	(1)
Ectopic Parathyroid Adenoma	25	(3)
MEN IIB Syndrome	28	(2)
Parathyroid Adenoma and Metastatic Gastrinoma in MEN I Syndrome	30	(3)
Insulinoma of the Tail of the Pancreas	33	(2)
Congenital Absence of Right Lobe of Thyroid with Compensatory Hypertrophy of Left Lobe	35	(2)
Metastatic Pheochromocytoma in a Patient with MEN II	37	(3)
Papillary Carcinoma of the Thyroid with Soft Tissue and Skeletal Metastases	40	(4)
Parathyroid Adenoma	44	(3)
Primary Aldosteronoma	47	(2)
Diffuse Toxic Goiter (Graves' Disease) with a Coexistent Solitary Hypofunctioning Nodule	49	(2)
Pulmonary Scintigraphy	51	(94)
M. Reza Hobibian
Acute Pulmonary Emboli with Rapid Resolution	56	(2)
Resolution of Acute Pulmonary Emboli with Minimal Residual	58	(2)
Acute Pulmonary Emboli with Partial Resolution	60	(1)
High Probability for PE in a Patient with Previous Pulmonary Emboli	61	(2)
Pulmonary Arterial Hypertension, Recurrent Pulmonary Emboli	63	(2)
Recurrent Pulmonary Emboli	65	(3)
Massive Pulmonary Emboli Fleischner's Sign, Westmark's Sign	68	(2)
High Probability for PE in a Patient with Parenchymal Infiltrate	70	(2)
High Probability for Upper Lobe PE in a Patient with Parenchymal Infiltrate	72	(3)
High Probability for PE in a Patient with COPD	75	(2)
High Probability for PE in a Patient with Chest Mass	77	(2)
Low Probability for PE in a Patient with Parenchymal Infiltrate	79	(2)
Low Probability for PE in a Patient with Pleural Effusion	81	(2)
Normal Perfusion Scan with Iatrogenic Microthrombus	83	(1)
Low Probability for PE	84	(3)
Stripe Sign	87	(2)
Positive Radionuclide Lower Extremity Venogram	89	(2)
Positive Red Blood Cell Labeled Venogram and PE	91	(3)
Intermediate Probability for PE	94	(2)
Triple Matched Defect Lower Lobe	96	(3)
Intermediate Probability for PE	99	(2)
Mucus Plug	101	(2)
Respiratory Distress Syndrome	103	(2)
Pulmonary Edema	105	(2)
Hydropneumothorax	107	(2)
Radiation Pneumonitis	109	(2)
Fatty Infiltration of the Liver	111	(2)
COPD	113	(2)
COPD Reverse Mismatch	115	(2)
Lower Lobe Emphysema, Alpha I Antitrypsin Deficiency	117	(2)
Upper Lobe Bullous Disease	119	(2)
Hilar Mass	121	(2)
False-Positive High Probability for PE	123	(3)
Tumor Microembolism	126	(2)
Pulmonary Tumor Emboli	128	(3)
Pulmonary Metastases	131	(2)
Osler-Weber-Rendu Syndrome	133	(4)
Bronchogenic Carcinoma---Surgical Candidate	137	(2)
Gallium-67 Scan, Active Pulmonary Sarcoidosis	139	(2)
Gallium-67 Scan, Pneumocystis Carinii Pneumonia	141	(4)
Cardiovascular Imaging	145	(72)
William H. Martin
Mark A. Coppess
Joao V. Vitola
Martin P. Sandler
Normal Stress 201Thallium Perfusion: Prognostic Implication	155	(2)
Myocardial Ischemia due to Two-Vessel Disease	157	(1)
Multivessel Ischemia: Pre-Operative Evaluation	158	(1)
Lateral Wall Ischemia due to Left Circumflex Stenosis	159	(1)
Myocardial Infarction: Pre-Op Assessment for Noncardiac Surgery	160	(1)
Myocardial Ischemia; Utility of 24-Hour 201Thallium Imaging	161	(2)
The Reverse Redistribution Defect	163	(2)
Myocardial Viability Assessment Using FDG Spect	165	(1)
Normal MIBI Perfusion: Advantages of MIBI Spect	166	(1)
Ischemia due to LAD Stenosis	167	(1)
Rest FDG/MIBI SPECT: Viability Assessment	168	(2)
Ischemic Cardiomyopathy: FDG/MIBI SPECT	170	(1)
Extensive Myocardial Scarring: Gated SPECT	171	(2)
False Positive Perfusion Spect due to LBBB	173	(2)
Soft Tissue Attenuation Artifacts	175	(3)
Radionuclide Ventriculography: Dilated Cardiomyopathy	178	(2)
Quantitation of Ischemia Using Circumferential Profiling	180	(2)
Gastrointestinal Artifacts	182	(2)
Quantitation of Ischemia Using the CeQUEL Program	184	(2)
Positron Emission Tomography (PET) for Post-PTCA Ischemia	186	(1)
Extracardiac (Puerperal Breast) Uptake of MIBI	187	(1)
RVG: Extracardiac Uptake of 99mTc-RBC	188	(2)
RVG: Technical Problems	190	(1)
Infarct-Avid Imaging	191	(4)
Doxorubicin-Induced Left Ventricular Dysfunction	195	(1)
Pulmonary Uptake of 201Thallium	196	(1)
Lateral Ischemia: Advantages of 201Thallium PECT	197	(1)
Planar Perfusion Imaging	198	(1)
RVG: Diastolic Dysfunction	199	(2)
Ischemia Demonstrated by Exercise RVG	201	(2)
Acute Ischemic Syndromes: Rest Perfusion SPECT	203	(3)
Post-PTCA Perfusion SPECT	206	(3)
Primary Pulmonary Hypertension	209	(1)
LBBB: Stress Perfusion Imaging	210	(3)
Multivessel CAD: Stress FDG/MIBI SPECT	213	(4)
Neurologic Imaging	217	(56)
Dominique Delbeke
Brain Flow Present (99mTc-Gllucoheptonate)	223	(1)
Interictal Seizure Focus in the Right Temporal Lobe (99mTc-HMPAO, 18F-FDG)	224	(2)
Advanced Alzheimer's Disease (18F-FDG)	226	(2)
Brain Flow Absent (99mTc-Gllucoheptonate, Technical Considerations)	228	(2)
CNS Lymphoma in an HIV Patient (18F-FDG)	230	(1)
Low-Grade Tumor (18F-FDG)	231	(1)
High-Grade Tumor (18F-FDG)	232	(1)
Pick's Disease (18F-FDG)	233	(1)
Recurrent High-Grade Tumor (18F-FDG)	234	(1)
Craniopharyngioma (18F-FDG)	235	(2)
Ischemia in the Distribution of the Left Carotid Artery and Infarct of the Right Occipital Cortex (99mTc-HMPAO with Acetazolamide Challenge)	237	(2)
Normal Cisternogram with Pledgets Positive for a CSF Leak (111In-DTPA)	239	(3)
Normal Cerebral Perfusion During Balloon Occlusion Test of the Right Carotid Artery (99mTc-HMPAO)	242	(1)
Low CSF Pressure Headache (11In-DTPA)	243	(3)
Huntington's Disease (18F-FDG)	246	(1)
Decreased Perfusion to the Right Hemisphere During Balloon Occlusion Test of the Right Carotid Artery (99mTc-HMPAO)	247	(1)
Atypical Alzheimer's Disease (18F-FDG)	248	(1)
High-Grade Tumor with Adjacent Ictal Seizure Focus (18F-FDG)	249	(2)
Infarct of the Left Anterior Cerebral Artery as a Complication of Surgical Clipping of an Aneurysm of the Anterior Communicating Artery (99mTc-HMPAO)	251	(2)
Ictal Seizure Focus in the Right Mesial Frontal Lobe (99mTC-HMPAO, 18F-FDG)	253	(3)
Aspergilloma (18F-FDG)	256	(1)
Ictal Seizure Focus Arising from a Region of Cortical Dysplasia with Possible Closed Lip Schizencephalic Cleft (99mTc-HMPAO, 18F-FDG)	257	(3)
Multi-Infarct Dementia (18F-FDG)	260	(2)
Normal Pressure Hydrocephalus (111In-DTPA)	262	(2)
Herpes Encephalitis (99mTc-glucoheptonate, (18F-FDG)	264	(2)
High-Grade Tumor Recurrence (201T1)	266	(2)
Occluded Ventriculoperitoneal Shunt (99mTc-DTPA)	268	(2)
Radiation Necrosis (18F-FDG)	270	(3)
Gastrointestinal Scintigraphy	273	(92)
M. Reza Hobibian
Cirrhosis on Liver Scan	278	(2)
Hepatoma Superimposed on Cirrhosis	280	(2)
Disseminated Liver Metastases	282	(2)
Liver Abscess	284	(1)
End-stage Hepatic Disease	285	(3)
Atlas Review	288	(4)
Hepatocellular Carcinoma	292	(1)
Focal Fatty Infiltration vs. Tumors (Fat)	293	(2)
Focal Fatty Infiltration vs. Tumor (Tumor)	295	(2)
Liver Mass	297	(3)
Cavernous Hemangioma	300	(3)
Cavernous Hemangioma with SPECT	303	(3)
False Positive Scan due to Ascites	306	(2)
Renal Uptake of 99mTc-Sulfur Colloid	308	(3)
Accessory Spleen	311	(2)
Space Occupying Lesion of the Spleen	313	(3)
Malignant Liver Mass, Multi-Image Studies	316	(3)
Focal Nodular Hyperplasia	319	(3)
Liver Carcinoid	322	(2)
Recurrent Colon Carcinoma	324	(3)
Segmental Biliary Obstruction	327	(2)
GI Bleeding---Small Bowel	329	(2)
GI Bleeding---Large Bowel	331	(2)
Abdominal Blood Pool Image	333	(4)
Hepatic Fibrosis	337	(1)
Renal Tumor	338	(1)
Left Renal Artery Pseudoaneurysm	339	(2)
Rim Sign	341	(2)
Morphine Augmentation	343	(2)
Gastric Reflux	345	(2)
Cystic Duct Remnant	347	(1)
Biliary Leak	348	(2)
Cholesytojejunostomy Anastomosis	350	(1)
Partial Biliary Obstruction	351	(2)
Common Bile Duct Obstruction	353	(2)
Chronic Cholecystitis	355	(2)
Pseudomembraneous Colitis	357	(1)
Right Lower Quadrant Abscess	358	(1)
Hepatic Hydrothorax	359	(1)
LaVeen Shunt	360	(2)
Warthin's Tumor	362	(3)
Renal Scintigraphy	365	(70)
Sadrollah Bazarjani
Dominique Delbeke
Normal Scrotal Scintigram	370	(2)
Early Testicular Torsion	372	(3)
Late Testicular Torsion with Acute Hemorrhagic Necrosis	375	(2)
Epididymo-Orchitis	377	(2)
Unilateral Vesicoureteral Reflux	379	(2)
Bilateral Vesicoureteral Reflux	381	(1)
Indirect Radionuclide Cystogram	382	(1)
Pyelonephritis	383	(3)
Unilateral Renovascular Hypertension	386	(4)
Bilateral Renovascular Hypertension	390	(3)
Normal 99mTc DTPA Renal Scintigram	393	(3)
Normal 99mTc MAG3 Renogram	396	(2)
Acute Renal Failure (with 99mTc DTPA)	398	(2)
Acute Renal Failure (with 99mTc MAG3)	400	(2)
Non-Obstructive Hydronephrosis	402	(2)
Obstructive Hydronephrosis	404	(3)
Ectopic Pelvic Kidney on Bone Scan	407	(2)
Normal Transplant Renogram	409	(2)
Acute Renal Transplant Rejection	411	(2)
Vascular Complication of the Transplanted Kidney	413	(2)
Posttransplant Lymphocele	415	(2)
Urinary Extravasation	417	(2)
Non-Functioning Kidney	419	(2)
Gallbladder Visualization with 99mTc MAG3	421	(1)
Residual Function in Old Renal Transplant	422	(2)
Malignant Tumor within a Renal Allograft	424	(2)
Prominent Column of Bertin	426	(1)
Duplex System	427	(3)
Unilateral Hydronephrosis	430	(1)
Renal Cell Carcinoma	431	(4)
Skeletal Scintigraphy	435	(184)
M. Reza Hobibian
Solitary Sclerotic Metastases	445	(2)
Solitary Lytic Metastases	447	(2)
Hot and Cold Metastases	449	(2)
Photopenic Metastases	451	(1)
Renal Mass with Metastases	452	(2)
The Solitary Rib Lesion	454	(3)
Progressive Metastases Versus Flare	457	(3)
Superscan	460	(3)
Appendicular Metastasis---Ulna	463	(2)
Appendicular Metastasis---Tibia	465	(2)
Metastasis of a Doughnut Appearance	467	(3)
Metastases and Paget's Disease	470	(1)
Resolving Metastases, Postchemotherapy	471	(2)
Metastases to the Bone and Liver	473	(4)
Metastases to the Bone, Liver, and Kidney	477	(2)
Metastases from Thyroid Carcinoma	479	(3)
Osteogenic Sarcoma Metastasized to the Lungs	482	(2)
Bone Destruction and Soft Tissue Mass	484	(3)
Metastases Mimicking Paget's Disease	487	(1)
Carcinoid Metastases	488	(2)
Chondrosarcoma	490	(2)
Osteochondroma	492	(2)
Osteoid Osteoma	494	(4)
Fibrous Dysplasia	498	(6)
Non-Osteogenic Fibroma	504	(3)
Enchondroma	507	(1)
Benign Chondroblastoma	508	(1)
Ribbing's Disease	509	(2)
Bone Island	511	(2)
False-Negative Scan	513	(2)
Polyostotic Paget's Disease	515	(3)
Subradiographic Paget's Disease	518	(2)
Sacral Paget's	520	(2)
Renal Osteodystrophy	522	(3)
End-Stage Renal Disease	525	(2)
Renal Osteodystrophy-Amyloidoma	527	(2)
Osteomyelitis due to Penetrating Wound	529	(3)
Osteomyelitis of Metatarsal Bone	532	(2)
Osteomyelitis of Greater Trochanter	534	(2)
Diskitis	536	(2)
Cold Defects on 111In Leukocyte Images	538	(3)
Charcot Arthropathy	541	(2)
Rhabdomyolysis	543	(2)
Myositis Ossificans	545	(2)
Polymyositis	547	(2)
Longitudinal Stress Fracture	549	(2)
Pathological Fracture	551	(2)
Stress Fracture	553	(2)
Stress Fracture and Shin Splint	555	(3)
Stress Fracture of Cancellous Bone	558	(4)
Occult Fracture of Femur	562	(2)
Occult Fracture of Sacrum	564	(2)
Fracture of the Scaphoid, Avascular Necrosis Lunate	566	(2)
Fracture of Sesamoid and Navicular Bone	568	(3)
Fracture of Patella	571	(3)
Non-Union Fracture	574	(3)
Reflex Sympathetic Dystrophy	577	(2)
Idiopathic Regional Migratory Osteopenia	579	(2)
Reflex Sympathetic Dystrophy	581	(2)
Avascular Necrosis of Femoral Head	583	(2)
Osteochondritis Dissecans	585	(2)
Freiberg's Disease	587	(1)
Vascular Pseudotumor	588	(2)
Uterine Hyperemia	590	(2)
Reno-Colonic Fistula	592	(2)
Temporomandibular Joint Arthritis	594	(2)
Mandibular Bone Graft	596	(1)
Hypertrophic Osteoarthropathy	597	(2)
Sickle Cell Disease	599	(3)
Myocardial Uptake	602	(2)
Ankylosing Spondylitis	604	(3)
Osteoporotic Vertebral Fracture	607	(2)
Postcardiac Resuscitation	609	(1)
Gauntlet's Image	610	(1)
Atlas Review	611	(8)
Oncologic Imaging	619	(104)
William H. Martin
Dominique Delbeke
M. Reza Habibian
Hodgkin's Lymphoma	625	(2)
Recurrent Hodgkin's Disease	627	(4)
Physiologic Thymic Rebound	631	(4)
Recurrent Hodgkin's Disease, Post-Bone Marrow Transplantation	635	(2)
Widespread Lymphoma	637	(3)
Metastatic Colorectal Carcinoma Demonstrated by FDG-PET Imaging	640	(3)
Colorectal Carcinoma Metastatic to Lung and Periaortic Nodes	643	(2)
Colon Carcinoma with Hepatic and Nodal Metastases	645	(3)
Focal Nodular Hyperplasia and Lactating Breasts	648	(3)
Metastatic Carcinoid Tumor	651	(2)
Cat Scratch Disease of the Liver	653	(2)
Hepatic Arterial Perfusion Scintigraphy	655	(4)
Monitoring Chemoembolization of a Hepatocellular Carcinoma with FDG-PET	659	(2)
Metastatic Hepatocelluar Carcinoma	661	(5)
Adrenal Metastasis	666	(2)
Adrenocortical Carcinoma	668	(2)
Cystic Adenocarcinoma of the Pancreas and Paget's Disease of the Scapula	670	(3)
Recurrent Pancreatic Carcinoma with Widespread Metastases	673	(4)
Pelvic Inflammatory Pseudotumor	677	(3)
Metastases from Ovarian Carcinoma Identified by FDG-PET	680	(2)
Malignant Solitary Pulmonary Nodule	682	(3)
Bronchogenic Carcinoma with Mediastinal Lymphadenopathy	685	(1)
Malignant Left Lung Nodule and Renal Transplant	686	(1)
Recurrent Bronchogenic Carcinoma with Artifacts	687	(2)
Melanoma: Lymphoscintigraphy and Sentinel Node Localization	689	(2)
Breast Cancer with Localization of Axillary Sentinel Node	691	(2)
Widespread Melanoma Unsuspected Clinically	693	(1)
Breast Carcinoma with Axillary Metastasis	694	(2)
Metastatic Breast Carcinoma	696	(2)
Small Cell Lung Cancer with Extensive Metastases	698	(2)
Metastatic Medullary Carcinoma of the Thyroid	700	(2)
Gastrinoma, Somatostatin-Receptor Positive	702	(4)
Ectopic ACTH Syndrome due to Metastatic Bronchial Carcinoid	706	(3)
Metastatic Neuroblastoma	709	(3)
Carotid Paraganglioma	712	(2)
Melanoma, Metastasis to the Bowel Wall and Adrenal Gland	714	(3)
Soft-Tissue Sarcoma with Metastasis	717	(6)
Infectious Process	723	(62)
Edwin L. Born Jr.
William H. Martin
Osteomyelitis of Foot in a Diabetic Patient	726	(3)
Charcot Arthropathy in a Diabetic Patient	729	(4)
Miliary Tuberculosis	733	(2)
Chronic Aorto-Bifemoral Bypass Graft Infection	735	(3)
Acute Femoral-Femoral Bypass Graft Infection	738	(2)
Altered Biodistribution of 67Ga Following Multiple Blood Transfusions	740	(2)
Infected AV Dialysis Shunt	742	(1)
FUO in Patient with Lymphoma	743	(3)
Infected Peritoneal Dialysis Tunnel Catheter	746	(2)
Discitis of Lumbar Spine	748	(2)
Multiple Liver Abscesses	750	(3)
Brain Abscess	753	(2)
Decreased Leukocyte Uptake in Bone Marrow Following Radiation Therapy	755	(1)
Aortic Graft Infection with 99mTc-HMPAO	756	(3)
Pain in HIP Prosthesis: Infection and Loosening	759	(2)
Bowel Infarct	761	(1)
Pseudomembranous Colitis and Polycystic Liver	762	(1)
Acute Pyelonephritis (Unilateral)	763	(1)
PCP in an AIDS Patient	764	(2)
Abdominal Abscess following Appendectomy	766	(2)
Reiter's Syndrome	768	(2)
Three Phase Bone Scans of Osteomyelitis and Cellulitis	770	(2)
Sinusitis in Patient with Wegener's Granulomatosis	772	(2)
Pulmonary Uptake of Radiolabeled Leukocytes	774	(2)
Thoracic Vertebral Instability without Infection and Vertebral Osteomyelitis	776	(3)
Inflammatory Bowel Disease	779	(1)
Lemierre's Syndrome	780	(5)
Pediatric Nuclear Imaging	785	(66)
Susan Passalaqua
Dominique Delbeke
Langerhans Cell Histiocytosis	788	(3)
Lingual Thyroid	791	(2)
Horseshoe Kidney	793	(1)
Autosomal Recessive Polycystic Kidney Disease	794	(2)
Vesicoureteral Reflux	796	(2)
Meckel's Diverticulum	798	(2)
Neuroblastoma	800	(2)
Biliary Atresia	802	(2)
Multicystic Dysplastic Kidney	804	(3)
Osteoid Osteoma	807	(2)
Gastroesophageal Reflux	809	(1)
Choledochal Cyst	810	(1)
Ewing's Sarcoma	811	(2)
Osteosarcoma	813	(4)
Lymphoma	817	(3)
Testicular Torsion	820	(3)
Acute Pyelonephritis	823	(1)
Sicke Cell Disease	824	(2)
Legg-Calve-Perthes Disease	826	(2)
Fibrous Dysplasia	828	(2)
Ureteropelvic Junction Obstruction	830	(2)
Spiral Fracture of the Tibia	832	(1)
Rhabdomyosarcoma	833	(1)
Skeletal Lymphoma	834	(3)
Appendicitis	837	(1)
Renal Ectopia	838	(2)
Osteomyelitis	840	(3)
Ligamentous Avulsion	843	(3)
Spondylolysis	846	(2)
Non-Accidental Trauma	848	(3)
Artifacts	851	(38)
James A. Patton
Interference from a High-Energy External Source	856	(1)
Photomultiplier Tube Drift (Obvious)	857	(1)
Photomultiplier Tube Drift (Subtle)	858	(2)
Pulse Height Analyzer (PHA) Window Off Peak	860	(3)
Clothing Artifact	863	(1)
Prosthetic Device Artifact	864	(1)
Improper PHA Window and Improper Collimator	865	(3)
Septal Penetration of Collimator	868	(3)
Improper Injection Technique	871	(2)
Urine Contamination	873	(1)
Misadministration	874	(1)
Patient with Right-to-Left Shunt	875	(1)
Aerosol Contamination	876	(1)
Center-of-Rotation Error in SPECT	877	(1)
Improper Injection Technique	878	(1)
Radiation Therapy Effects	879	(1)
Damaged Collimator	880	(1)
Intermittent Failure of Orientation Circuitry	881	(1)
Double Exposure	882	(1)
Patient with Hyperparathyroidism	883	(1)
Free 99mTc Pertechnetate in Gastric Reflux Study with 99m Tc Sulfur Colloid	884	(1)
Clumping of White Blood Cells in Survey for Infection	885	(1)
Misadminitration: 99mTc Pertechnetate Instead of 99mTc HDP	886	(1)
Infiltration Appearing in Lymph Node of 99mTc HDP Scan	887	(1)
Free 99mTc Pertechnetate in 99mTc-HMPAO Brain SPECT	888	(1)
Subject Index	889