Research ArticleBasic Science Investigation

Identification of Concomitant Iatrogenic Lower Extremity Lymphedema and Pelvic Lymphatic Leak on Lymphoscintigraphy and SPECT/CT

Andrew P. Sill, John G. Renfrew and Ming Yang
Journal of Nuclear Medicine Technology June 2021, 49 (2) 186-187; DOI: https://doi.org/10.2967/jnmt.120.257246

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  • FIGURE 1.
    FIGURE 1.

    Photograph of lower extremities shows asymmetric swelling of left upper thigh. Three-hour delayed planar images show dermal backflow of left upper thigh, more prominent on anterior view (dashed outline). In addition, there is abnormal U-shaped extranodal radiotracer distribution in pelvis (red curves). Stars denote liver.

  • FIGURE 2.
    FIGURE 2.

    Axial (A) and sagittal (B) SPECT/CT images of pelvis demonstrate extranodal tracer distribution along pelvic floor (arrows) with corresponding free tracer fluid in pelvis on contrast-enhanced diagnostic CT images (C and D).

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