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CC BY-NC-ND 4.0 · World J Nucl Med 2019; 18(01): 74-76
DOI: 10.4103/wjnm.WJNM_19_18
Case Report

The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy

Francis T Delaney
1   Department of Medical Imaging, The Prince Charles Hospital, Brisbane, Australia
,
Emma L Gray
1   Department of Medical Imaging, The Prince Charles Hospital, Brisbane, Australia
,
Joseph C Lee
1   Department of Medical Imaging, The Prince Charles Hospital, Brisbane, Australia
2   Faculty of Medicine, The University of Queensland, Australia
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Abstract

We present a case of lung cancer incidentally detected as a pulmonary nodule on computed tomography attenuation correction (CTAC) images during myocardial perfusion scintigraphy (MPS). Unfortunately, the incidental lesion was not fully investigated following MPS report and had developed into metastatic lung carcinoma when diagnosed over 1 year later, with failure of subsequent emergent chemotherapy. The disease appeared to be localized when initially detected during MPS. This case highlights the importance and potential clinical value of routine review of CTAC images in MPS with appropriate reporting and further investigation of suspicious incidental findings. In addition, the importance of effective communication between nuclear medicine department and treating team is clear to ensure suspicious incidental findings are given sufficient credence and thoroughly investigated promptly to avoid adverse clinical outcomes.

Keywords

Computed tomography attenuation correction - incidental findings - low-dose computed tomography - lung carcinoma - myocardial perfusion scintigraphy

Financial support and sponsorship

Nil.




Publication History

Received: 00 00 2019

Accepted: 00 00 2019

Article published online:
22 April 2022

© 2019. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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