title: Incidentally detected diaphragmatic hernia mimicking angina pectoris with Tc-99m MIBI myocardial perfusion imaging.
abstract: In recent years (99m)Technetium methoxy-isobutyl-isonitrile ((99m)Tc MIBI) is widely used in the evaluation of myocardial perfusion imaging (MPI). In this imaging protocol besides the cardiac evaluation, numerous other organs are included in the field of view. (99m)Technetium MIBI is taken up in all metabolically active tissue in the body except for the brain. Extracardiac uptake patterns as benign or serious conditions can be revealed during the MPI. In the imaging protocol, we should be aware of distribution of this radiotracer in order to recognize the abnormal uptake. Here in, we present a large diaphragmatic hernia, seemed as a mirror vision of myocardium that was determined incidentally during the MPI with (99m)Tc MIBI.
authors.affiliation: Department of Nuclear Medicine, Ministry of Health, Ankara Training and Research Hospital, Ulucanlar Street, 06340 Ankara, Turkey.
authors.forename: Alev
authors.initials: A
authors.lastname: Cınar
authors.affiliation: Department of Nuclear Medicine, Ministry of Health, Ankara Training and Research Hospital, Ulucanlar Street, 06340 Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Sadıc
authors.affiliation: Department of Nuclear Medicine, Ministry of Health, Ankara Training and Research Hospital, Ulucanlar Street, 06340 Ankara, Turkey.
authors.forename: Koray
authors.initials: K
authors.lastname: Demırel
authors.affiliation: Department of Nuclear Medicine, Ministry of Health, Ankara Training and Research Hospital, Ulucanlar Street, 06340 Ankara, Turkey.
authors.forename: Meliha
authors.initials: M
authors.lastname: Korkmaz
keywords: 99m Technetium-99m methoxy-isobutyl-isonitrile; Diaphragmatic hernia; extracardiac uptake; myocardial perfusion imaging (MPI)