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Implications of Unexpected Diffuse Lung Uptake on a 99mTc-Sestimibi Parathyroid Scan

Rami K. Zein, Prashant Jolepalem and C. Oliver Wong
Journal of Nuclear Medicine Technology March 2015, 43 (1) 64-65; DOI: https://doi.org/10.2967/jnmt.114.139899

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Figures

  • FIGURE 1.
    FIGURE 1.

    Early (A) and delayed (B) static images of 99mTc-sestamibi parathyroid scan. Focus of persistent increased activity suggestive of parathyroid adenoma is seen in inferior pole of left lobe of thyroid gland. Diffuse increased uptake in lungs is suggestive of underlying disease.

  • FIGURE 2.
    FIGURE 2.

    CT coronary angiogram showing diffuse irregular calcification at proximal left anterior descending artery and nonstenotic calcification in proximal left circumflex arteries (A, arrows). There was also noncritical stenosis in right coronary artery (B, arrow) and sizeable pericardial effusion (B, arrowhead)

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