title: Incidental detection of previously undiagnosed primary breast carcinoma with a gallium-67 scan performed for evaluation of occult infection.
abstract: A 63-year-old female patient with a recent left posterior cerebral artery infarction and pyelonephritis presented with persistent fevers despite adequate intravenous antibiotic therapy. Whole-body gallium-67 scintigraphy was performed to evaluate for occult infection. Tracer accumulated bilaterally in the kidneys consistent with the previously diagnosed pyelonephritis. Relatively intense uptake was also noted in the area of a known occipitoparietal infarct. Incidentally noted was an abnormal focus of increased tracer uptake in the retroareolar region of the right breast. Subsequent guided core biopsy of the right breast mass demonstrated a previously undiagnosed invasive ductal carcinoma.
authors.affiliation: Department of Radiology, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
authors.forename: Gregory E
authors.initials: GE
authors.lastname: Punch
authors.forename: Michael T
authors.initials: MT
authors.lastname: Burtis
authors.forename: Jerry M
authors.initials: JM
authors.lastname: Brown
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D044584:Carcinoma, Ductal / Q000000981:diagnostic imaging*; D002951:Citrates; D005260:Female; D005708:Gallium; D006801:Humans; D033162:Incidental Findings; D007239:Infections / Q000000981:diagnostic imaging*; D008875:Middle Aged; D009393:Nephritis / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D051598:Whole Body Imaging
chemical_list: D002951:Citrates; D019275:Radiopharmaceuticals; D005708:Gallium; C103850:gallium citrate