open access

Vol 19, No 1 (2016)
Case Report
Published online: 2016-01-29
Submitted: 2015-05-08
Accepted: 2015-06-17
Get Citation

Veteran player tips the scale — V/Q SPECT-CT proves decisive in blunt chest trauma. Case report and brief literature review

Ewa Witkowska-Patena, Andrzej Mazurek, Mirosław Dziuk
DOI: 10.5603/NMR.2016.0010
·
Pubmed: 26838945
·
Nucl. Med. Rev 2016;19(1):51-53.

open access

Vol 19, No 1 (2016)
Case Report
Published online: 2016-01-29
Submitted: 2015-05-08
Accepted: 2015-06-17

Abstract

A 29-year-old patient after blunt chest trauma with right lung atelectasis and pulmonary empyema was referred for lung ventilation and perfusion scintigraphy before right-sided pneumonectomy. Radionuclide imaging revealed severely reduced perfusion and lack of ventilation in the collapsed right lung. Additionally, it showed a matching lobar perfusion-ventilation defect in the lower left lobe, which, apart from consolidation area in posterior basal segment, appeared normal in computed tomography. A normal perfusion and ventilation pattern was observed in the upper left lobe. Since it was found to be the only functioning lobe, pneumonectomy was excluded from possible treatment options.

Abstract

A 29-year-old patient after blunt chest trauma with right lung atelectasis and pulmonary empyema was referred for lung ventilation and perfusion scintigraphy before right-sided pneumonectomy. Radionuclide imaging revealed severely reduced perfusion and lack of ventilation in the collapsed right lung. Additionally, it showed a matching lobar perfusion-ventilation defect in the lower left lobe, which, apart from consolidation area in posterior basal segment, appeared normal in computed tomography. A normal perfusion and ventilation pattern was observed in the upper left lobe. Since it was found to be the only functioning lobe, pneumonectomy was excluded from possible treatment options.

Get Citation

Keywords

lung volume reduction surgery, V/Q SPECT-CT, blunt chest trauma

About this article
Title

Veteran player tips the scale — V/Q SPECT-CT proves decisive in blunt chest trauma. Case report and brief literature review

Journal

Nuclear Medicine Review

Issue

Vol 19, No 1 (2016)

Pages

51-53

Published online

2016-01-29

DOI

10.5603/NMR.2016.0010

Pubmed

26838945

Bibliographic record

Nucl. Med. Rev 2016;19(1):51-53.

Keywords

lung volume reduction surgery
V/Q SPECT-CT
blunt chest trauma

Authors

Ewa Witkowska-Patena
Andrzej Mazurek
Mirosław Dziuk

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