Intrathoracic gastric activity of Tc-99m sestamibi in a patient with gastric pull-up for esophageal cancer.
A 69-year-old man with remote gastric pull-up was evaluated with a 2-day stress-rest dypiridamole Tc-99m sestamibi myocardial perfusion imaging, where significant tracer uptake was noted in the posterior mediastinum related to enterogastric reflux of sestamibi. These ancillary findings were suggestive of a noncardiac etiology of the patient's atypical chest pain. This case highlights the value of examining the raw projection images for incidental findings that may be present during myocardial perfusion imaging.
Alabed
Yazan
Y
Division of Nuclear Medicine, Department of Radiology, McGill University Health Center, Montreal, Quebec, Canada.
Probst
Stephan
S
Rakheja
Rajan
R
Crelinsten
Gordon
G
Hickeson
Marc
M
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000000981:diagnostic imaging; D004938:Esophageal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D055414:Myocardial Perfusion Imaging; D013270:Stomach / Q000000981:diagnostic imaging*; D017256:Technetium Tc 99m Sestamibi; D013909:Thorax / Q000000981:diagnostic imaging*
D017256:Technetium Tc 99m Sestamibi