Ventilation-perfusion imaging in sarcoidosis: potential for nonembolic segmental mismatch.
We report a case of a postpartum female on oral contraceptives who presented with chest pain and was initially treated for pulmonary embolism on the basis of a lobar mismatch on ventilation-perfusion imaging. Subsequent angiography revealed that the pulmonary artery was extrinsically compressed. Gallium-67-citrate imaging documented sarcoidosis with uptake in bilateral hilar nodes, both lungs and parotid and salivary glands.
Finestone
H
H
Department of Radiology, Beth Israel Medical Center, New York, New York 10003.
Colp
C
C
Rackson
M
M
Shams
J
J
Gallagher
R
R
D000328:Adult; D002951:Citrates; D019343:Citric Acid; D003937:Diagnosis, Differential; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging*; D014692:Ventilation-Perfusion Ratio / Q000502:physiology
D002951:Citrates; D005710:Gallium Radioisotopes; D019343:Citric Acid