IMAGES THAT TEACH 99m Incidental detection of abnormal Tc- sestamibi uptake in the sternum and ribcage from multiple myeloma by SPECT myocardial perfusion imaging a a b Ayman A. Farag, MD, Hiren Patel, MD, Pradeep Bhambhvani, MD, and a,c Fadi G. Hage, MD Division of Cardiovascular Disease, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL Division of Molecular Imaging and Therapeutics, Department of Radiology, The University of Alabama at Birmingham, Birmingham, AL Section of Cardiology, Birmingham Veterans Affairs Medical Center, Birmingham, AL Received Jun 13, 2016; accepted Jun 20, 2016 doi:10.1007/s12350-016-0625-x CASE PRESENTATION DISCUSSION 99m A 66-year-old man with a past medical history of In addition to its use for MPI, Tc-sestamibi is coronary artery bypass grafting, diabetes mellitus, also used as a radiopharmaceutical in scintimammogra- hypertension, heart failure, and nonalcoholic steatohep- phy, parathyroid scans (for presurgical parathyroid atitis underwent regadenoson myocardial perfusion lesion localization in hyperparathyroidism), and occa- 99m 1 imaging (MPI) using Tc-sestamibi for evaluation of sionally for imaging multiple myeloma. In our patient, shortness of breath. Stress and rest ECGs were unre- the myocardial perfusion images incidentally demon- 99m markable. The images showed decreased perfusion in strated prominent Tc-sestamibi radiotracer uptake in the
Journal of Nuclear Cardiology – Springer Journals
Published: Jul 28, 2016
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