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Pulmonary Perfusion Imaging in Congenital Lobar Emphysema-Reply

Pulmonary Perfusion Imaging in Congenital Lobar Emphysema-Reply Abstract In Reply.—We share Dr Leonard's opinion that the activity seen within both kidneys (Fig 2) could suggest either a right-to-left cardiac shunt or deficiencies in the preparation of the lung-imaging agent. Before submitting the manuscript, we carefully examined the patient for possible congenital heart disease, that condition having been reported to be associated with congenital lobar emphysema.1 We found no clinical evidence of heart involvement; however, definitive heart studies were not done in this patient. We also did not find substantiating evidence for an associated hyposplenism or asplenia. The patient's RBC morphology was normal; findings on sickle cell preparation were negative and no HowellJolly bodies were seen in the peripheral blood smear. One additional point might be made concerning abdominal organ visualization. Take-up of radioactive material in abdominal organs can be explained on the basis of breakage of the bondage of the radioactive compound, with subsequent transmission through References 1. Martin DS: Experiences with acute surgical conditions . Radiol Clin North Am 13:297-329, 1975. 2. Wagner HN Jr: The use of radioisotope techniques for the evaluation of patients with pulmonary disease . Am Rev Resp Dis 113:218, 1976. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Pulmonary Perfusion Imaging in Congenital Lobar Emphysema-Reply

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Pulmonary Perfusion Imaging in Congenital Lobar Emphysema-Reply

Abstract

Abstract In Reply.—We share Dr Leonard's opinion that the activity seen within both kidneys (Fig 2) could suggest either a right-to-left cardiac shunt or deficiencies in the preparation of the lung-imaging agent. Before submitting the manuscript, we carefully examined the patient for possible congenital heart disease, that condition having been reported to be associated with congenital lobar emphysema.1 We found no clinical evidence of heart involvement; however, definitive heart...
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120340113032
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.—We share Dr Leonard's opinion that the activity seen within both kidneys (Fig 2) could suggest either a right-to-left cardiac shunt or deficiencies in the preparation of the lung-imaging agent. Before submitting the manuscript, we carefully examined the patient for possible congenital heart disease, that condition having been reported to be associated with congenital lobar emphysema.1 We found no clinical evidence of heart involvement; however, definitive heart studies were not done in this patient. We also did not find substantiating evidence for an associated hyposplenism or asplenia. The patient's RBC morphology was normal; findings on sickle cell preparation were negative and no HowellJolly bodies were seen in the peripheral blood smear. One additional point might be made concerning abdominal organ visualization. Take-up of radioactive material in abdominal organs can be explained on the basis of breakage of the bondage of the radioactive compound, with subsequent transmission through References 1. Martin DS: Experiences with acute surgical conditions . Radiol Clin North Am 13:297-329, 1975. 2. Wagner HN Jr: The use of radioisotope techniques for the evaluation of patients with pulmonary disease . Am Rev Resp Dis 113:218, 1976.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Sep 1, 1978

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