Thoracic splenosis.
The authors present a case that demonstrates the continued high sensitivity of Tc-99m SC liver-spleen imaging for thoracic splenosis. A patient with profound weight loss, positive PPD and left upper lobe lung density on a chest radiograph was felt to have a strong clinical suspicion of a malignant pulmonary lesion. Two needle biopsies of the lesion were consistent with splenic tissue. Transbronchial biopsy of the right lower lobe lung revealed metastatic adenocarcinoma of an unknown origin. A Tc-99m SC liver-spleen scan of the abdomen and thorax indicated the lung density was consistent with thoracic splenosis.
Nuclear Medicine Service, Veterans Affairs Medical Center, Augusta, Georgia.
V M
VM
Hardin
M E
ME
Morgan
D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary; D000328:Adult; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D008175:Lung Neoplasms / Q000150:complications / Q000556:secondary; D008297:Male; D009382:Neoplasms, Unknown Primary / Q000150:complications; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D013154:Spleen / Q000000981:diagnostic imaging; D017890:Splenosis / Q000150:complications / Q000000981:diagnostic imaging*; D013671:Technetium Tc 99m Sulfur Colloid; D014057:Tomography, X-Ray Computed
D013671:Technetium Tc 99m Sulfur Colloid