open access
Veteran player tips the scale — V/Q SPECT-CT proves decisive in blunt chest trauma. Case report and brief literature review
open access
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.
Keywords
lung volume reduction surgery, V/Q SPECT-CT, blunt chest trauma
About this articleTitle
Veteran player tips the scale — V/Q SPECT-CT proves decisive in blunt chest trauma. Case report and brief literature review
Journal
Issue
Article type
Case report
Pages
51-53
Published online
2016-01-29
Page views
1056
Article views/downloads
1605
DOI
10.5603/NMR.2016.0010
Pubmed
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
