title: Abnormal pulmonary accumulation of indium-111 chloride in pneumocystis carinii pneumonia as detected by bone marrow scintigraphy.
abstract: OBJECTIVE
  Unusual pulmonary uptake of In-111 chloride in a patient with Pneumocystis carinii pneumonia and autoimmune hepatitis is described.
  
  
  METHODS
  In-111 chloride bone marrow scintigraphy was performed to evaluate the bone marrow activity associated with pancytopenia in a 56-year-old woman with autoimmune hepatitis.
  
  
  RESULTS
  An In-111 chloride bone marrow scan showed increased pulmonary uptake predominantly in both upper lung fields. P. carinii pneumonia was seen to be developing as an immunocompromised complication after treatment for autoimmune hepatitis.
  
  
  CONCLUSIONS
  When In-111 chloride bone marrow scintigraphy shows increased uptake in the lungs of immunocompromised patients, a combined opportunistic inflammatory disease such as P. carinii pneumonia should be considered in the diagnosis.
authors.affiliation: Department of Radiology, Teikyo University School of Medicine, Ichihara Hospital, Ichihara Chiba, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Matsuoka
authors.forename: K
authors.initials: K
authors.lastname: Uchiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Kuniyasu
authors.forename: Y
authors.initials: Y
authors.lastname: Niio
authors.forename: H
authors.initials: H
authors.lastname: Shima
authors.forename: K
authors.initials: K
authors.lastname: Doai
authors.forename: S
authors.initials: S
authors.lastname: Oishi
authors.forename: Y
authors.initials: Y
authors.lastname: Nojiri
authors.forename: H
authors.initials: H
authors.lastname: Ogata
mesh_terms: D001853:Bone Marrow / Q000000981:diagnostic imaging*; D005260:Female; D006410:Hematopoiesis / Q000502:physiology; D019693:Hepatitis, Autoimmune / Q000000981:diagnostic imaging*; D006801:Humans; D007204:Indium; D008168:Lung / Q000000981:diagnostic imaging; D008875:Middle Aged; D009894:Opportunistic Infections / Q000000981:diagnostic imaging*; D010198:Pancytopenia / Q000000981:diagnostic imaging*; D011020:Pneumonia, Pneumocystis / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging
chemical_list: D007204:Indium; C020758:indium trichloride