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KMID : 1148920120460010065
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Nuclear Medicine and Molecular Imaging
2012 Volume.46 No. 1 p.65 ~ p.68
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Compression of the Right Pulmonary Artery by a Massive Descending Aortic Aneurysm Causing Bilateral Perfusion Defects on Pulmonary Scintigraphy
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Makis William
Derbekyan Vilma
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Abstract
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A 67-year-old woman, who presented with a 2 month history of dyspnea, had a ventilation and perfusion lung scan that showed absent perfusion of the entire right lung with normal ventilation, as well as a rounded matched defect in the left lower lung adjacent to midline, suspicious for an aortic aneurysm or dissection. CT pulmonary angiography revealed a massive descending aortic aneurysm compressing the right pulmonary artery as well as the left lung parenchyma, accounting for the bilateral perfusion scan defects. We present the Xe-133 ventilation, Tc-99m MAA perfusion and CT pulmonary angiography imaging findings of this rare case.
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KEYWORD
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Unilateral absent perfusion, Descending aortic aneurysm, Ventilation and perfusion scan, VQ scan, CT pulmonary angiography
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