title: Veteran player tips the scale - V/Q SPECT-CT proves decisive in blunt chest trauma. Case report and brief literature review.
abstract: A 29-year-old patient after blunt chest trauma with right lung atelectasis and pulmonary empyema was referred for lung ventilation and perfusion scintigraphy before right-sided pneumonectomy. Radionuclide imaging revealed severely reduced perfusion and lack of ventilation in the collapsed right lung. Additionally, it showed a matching lobar perfusion-ventilation defect in the lower left lobe, which, apart from consolidation area in posterior basal segment, appeared normal in computed tomography. A normal perfusion and ventilation pattern was observed in the upper left lobe. Since it was found to be the only functioning lobe, pneumonectomy was excluded from possible treatment options.
authors.affiliation: Nuclear Medicine Department, Military Institute of Medicine, Warsaw, Poland. ewitkowska-patena@wim.mil.pl.
authors.forename: Ewa
authors.initials: E
authors.lastname: Witkowska-Patena
authors.forename: Andrzej
authors.initials: A
authors.lastname: Mazurek
authors.forename: Mirosław
authors.initials: M
authors.lastname: Dziuk
mesh_terms: D000328:Adult; D004653:Empyema / Q000150:complications; D006801:Humans; D008297:Male; D064847:Multimodal Imaging; D055420:Perfusion Imaging; D001261:Pulmonary Atelectasis / Q000150:complications; D012123:Pulmonary Ventilation; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
keywords: V/Q SPECT-CT; blunt chest trauma; lung volume reduction surgery