An incidental detection of aortic aneurysm on Tc-99m MAG3 renal scintigraphy

Abstract

A 71-year-old man with newly diagnosed hypertension was referred for Technetium-99m mercaptoacetyltriglycine (Tc-99mMAG3) renal scintigraphy to evaluate the recent onset of impairmentin renal functions. Dynamic imaging revealed activity flowwhich was suspicious for aortic aneurysm (AA) with a concurrent decrease in left renal blood flow. CT angiography of the thoracoabdominal aorta confirmed that this area corresponded to AA. The purpose of this report was to present the first case of incidental detection of AA on Tc-99m MAG3 scintigraphy and highlight the importance of correlative imaging for thediagnosis of abnormal radioactivity accumulation in the regionof vascular structures.