title: Serendipitous discovery of non-sestamibi-avid squamous cell lung cancer invading the heart during myocardial perfusion imaging.
abstract: Scintigraphic and radiographic correlation of a non-sestamibi-avid lung mass invading the left ventricle serendipitously discovered during adenosine myocardial perfusion imaging is presented. The only clue to the presence of the mass was deformation of the anterior wall on SPECT myocardial perfusion imaging. This case serves as a reminder that although the appearance of pathology on a nuclear medicine imaging study is typically what is seen (specifically, increased radiopharmaceutical uptake), it can just as importantly be what is not seen.
authors.affiliation: Nuclear Medicine Service, James A. Haley Veterans' Hospital and University of South Florida College of Medicine, Tampa, FL 33162-4745, USA. dwight.achong@va.gov
authors.forename: Dwight M
authors.initials: DM
authors.lastname: Achong
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging*; D019788:Fluorodeoxyglucose F18; D006801:Humans; D033162:Incidental Findings; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D064847:Multimodal Imaging; D055414:Myocardial Perfusion Imaging; D009206:Myocardium / Q000473:pathology*; D009361:Neoplasm Invasiveness; D011859:Radiography; D017256:Technetium Tc 99m Sestamibi
chemical_list: D019788:Fluorodeoxyglucose F18; D017256:Technetium Tc 99m Sestamibi