This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Shih, W.-J. Articles by Milan, P. Search for Related Content PubMed PubMed Citation Articles by Shih, W.-J. Articles by Milan, P.

Duodenogastric Reflux in a Hiatal Hernia Seen as Retrocardiac Activity on ^99mTc-Tetrofosmin Cardiac SPECT Raw-Data Images

¹ Nuclear Medicine Service, Lexington VA Medical Center, Lexington, Kentucky, and ² Department of Diagnostic Radiology, University of Kentucky Medical Center, Lexington, Kentucky; ³ Department of Radiology, College of Medicine, Cornell University, New York, New York; ⁴ Department of Nuclear Medicine, Tri-Service General Hospital, Taipei City, Taiwan; and ⁵ Radiology Service, Lexington VA Medical Center, Lexington, Kentucky

View larger version (90K): [in this window] [in a new window]   FIGURE 1.  Two-day 99mTc-tetrofosmin SPECT images (top 2 rows, stress and rest short-axis slices; middle 2 rows, stress and rest horizontal slices; bottom 2 rows, stress and rest vertical slices) show absence of activity in apical wall and decreased activity in apical anterior wall. Increased activity in inferior to the inferior wall is noted on short-axis slices (arrowheads); large areas of activity (arrows) are noted in basal region on vertical and horizontal images.

View larger version (110K): [in this window] [in a new window]   FIGURE 2.  (A) Raw-data images in anterior projections at stress (right) and rest (left) on 2-d 99mTc-tetrofosmin SPECT study show duodenogastric reflux (arrowheads). (B) Raw-data images in left lateral projections on 2-d 99mTc-tetrofosmin SPECT study show extracardiac activity (arrows) in posterior aspect of heart (H) at rest (left) and stress (right).

View larger version (60K): [in this window] [in a new window]   FIGURE 3.  Contrast-enhanced CT images of chest show large part of stomach and its omentum (arrowheads) between heart and thoracic vertebrae.