Hepato-cardiac juxtaposition secondary to right hemi-diaphragmatic eventration on 99mTc-Sestamibi myocardial perfusion scintigraphy.

Abstract

Liver radiotracer activity interfering with the inferior myocardial wall in a patient undergoing myocardial perfusion imaging (MPI) with 99mTc-Sestamibi is a known pitfall. We report a patient with pituitary macroadenoma who was subjected to stress-MPI study for pre-anesthetic clearance. The post-stress raw image showed the liver radiotracer activity in close approximation to the anteroseptal wall of the left ventricular myocardium, secondary to right hemi-diaphragmatic eventration.

• Authors: Ashwin Singh Parihar, Harpreet Singh, Anil Bhansali, Karthikeyan, Shelvin Kumar Vadi, Madan Parmar
• Journal: Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology (J Nucl Cardiol) Vol. 28 Issue 2 Pg. 750-751 (Apr 2021) ISSN: 1532-6551 [Electronic] United States
• PMID: 31970679 (Publication Type: Case Reports, Journal Article)

Chemical References

• Radiopharmaceuticals
• Technetium Tc 99m Sestamibi

Topics

• Aged
• Diaphragmatic Eventration (complications)
• Female
• Humans
• Myocardial Perfusion Imaging (methods)
• Radiopharmaceuticals
• Technetium Tc 99m Sestamibi
• Tomography, Emission-Computed, Single-Photon (methods)