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KMID : 1148920180520050401
Nuclear Medicine and Molecular Imaging
2018 Volume.52 No. 5 p.401 ~ p.404
Fibrosing Mediastinitis: a Rare Cause of Unilateral Absent Lung Perfusion on a V/Q Scan
Goldbach Alyssa R.

Pascarella Suzanne
Dadpravarar Simin
Abstract
We report a case of a 29-year-old female with a history of asthma, post-partum ARDS, and pulmonary hypertension who presents with severe shortness of breath. The patient describes her shortness of breath as progressive over the past 10 years. Chest radiography and CT angiography of the thorax showed findings consistent with fibrosing mediastinitis with severe stenosis of the left main pulmonary artery. This resulted in appearance of unilateral absent left lung perfusion on quantitative Tc-99-MAA perfusion and Xe-133 ventilation (V/Q) scan.
KEYWORD
Ventilation and perfusion scan, Fibrosing mediastinitis, CTPA, Histoplasma, Mediastinal fibrosis
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