title: Axillary lymph node uptake of Tc-99m MIBI resulting from extravasation should not be misinterpreted as metastasis.
abstract: Ipsilateral axillary lymph node visualization due to extravasation of Tc-99m MDP intravenous injection has been well documented. A patient with suspected angina underwent Tc-99m MIBI myocardial SPECT who had extravasation of Tc-99m MIBI in the antecubital region resulting in ipsilateral axillary lymph node uptake. This finding should not be misinterpreted as lymphatic nodal metastasis in a patient with breast cancer or lung cancer.
authors.affiliation: VA Medical Center, and Nuclear Medicine Section, Department of Diagnostic Radiology, University of Kentucky Medical Center, Lexington 40511, USA.
authors.forename: W J
authors.initials: WJ
authors.lastname: Shih
authors.forename: J K
authors.initials: JK
authors.lastname: Han
authors.forename: J
authors.initials: J
authors.lastname: Coupal
authors.forename: B
authors.initials: B
authors.lastname: Wierzbinski
authors.forename: S
authors.initials: S
authors.lastname: Magoun
authors.forename: K
authors.initials: K
authors.lastname: Gross
mesh_terms: D000787:Angina Pectoris / Q000000981:diagnostic imaging*; D001365:Axilla; D001692:Biological Transport; D003951:Diagnostic Errors; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D007275:Injections, Intravenous; D008198:Lymph Nodes / Q000000981:diagnostic imaging* / Q000378:metabolism; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D017256:Technetium Tc 99m Sestamibi / Q000008:administration & dosage / Q000493:pharmacokinetics*; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D017256:Technetium Tc 99m Sestamibi