Importance of SPECT/CT images in a case to differentiate a chest wall soft tissue infection from pneumonia on 111In-tagged WBC scintigraphy.

Bhojwani N, Hartman J, Mehta L
Clin Nucl Med. 2014 39 (6): 561-3

PMID: 24686211 · DOI:10.1097/RLU.0000000000000433

A 52-year-old man presented to the emergency department with a 3-day history of fevers and left flank pain radiating to the chest and neck. Total WBC count was 20,000/uL. Abdominal CT demonstrated small bibasilar pleural effusions. Because of persistent leukocytosis, an In WBC scintigram was ordered 5 days after admission, which demonstrated thoracic WBC accumulation on the planar images that localized to the left posterior chest wall on SPECT/CT. SPECT/CT may differentiate intrathoracic versus extrathoracic disease.

MeSH Terms (12)

Diagnosis, Differential Humans Indium Radioisotopes Leukocyte Count Male Middle Aged Multimodal Imaging Pneumonia Soft Tissue Infections Thoracic Wall Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed

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