title: Importance of SPECT/CT images in a case to differentiate a chest wall soft tissue infection from pneumonia on 111In-tagged WBC scintigraphy.
abstract: A 52-year-old man presented to the emergency department with a 3-day history of fevers and left flank pain radiating to the chest and neck. Total WBC count was 20,000/uL. Abdominal CT demonstrated small bibasilar pleural effusions. Because of persistent leukocytosis, an In WBC scintigram was ordered 5 days after admission, which demonstrated thoracic WBC accumulation on the planar images that localized to the left posterior chest wall on SPECT/CT. SPECT/CT may differentiate intrathoracic versus extrathoracic disease.
authors.affiliation: From the *Department of Radiology, University Hospitals Case Medical Center; †Case Western Reserve University School of Medicine; and ‡Department of Radiology, Section of Nuclear Medicine, University Hospitals Case Medical Center, Cleveland, OH.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Bhojwani
authors.forename: Jason
authors.initials: J
authors.lastname: Hartman
authors.forename: Lina
authors.initials: L
authors.lastname: Mehta
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D007205:Indium Radioisotopes; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D011014:Pneumonia / Q000097:blood / Q000000981:diagnostic imaging*; D018461:Soft Tissue Infections / Q000097:blood* / Q000000981:diagnostic imaging*; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000473:pathology*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
chemical_list: D007205:Indium Radioisotopes