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10.4103/wjnm.WJNM_39_17

http://scihub22266oqcxt.onion/10.4103/wjnm.WJNM_39_17
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C6034550!6034550!30034286
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suck abstract from ncbi


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pmid30034286      World+J+Nucl+Med 2018 ; 17 (3): 198-200
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  • Massive pericardial effusion: A rare and easily missed finding in myocardial perfusion scintigraphy #MMPMID30034286
  • Wu KK; Kung BT; Au Yong TK
  • World J Nucl Med 2018[Jul]; 17 (3): 198-200 PMID30034286show ga
  • A 72-year-old gentleman underwent myocardial perfusion scintigraphy (MPS) for sinus tachycardia of unknown cause. Baseline electrocardiography (ECG) showed sinus tachycardia and electrical alternans. Thallium-201 stress-redistribution MPS was performed with dipyridamole stress. On the raw projection images, a photopenic ?halo? was noted surrounding the heart. Reconstructed slices showed small left ventricle with no obvious perfusion defect. Review of single-photon emission computed tomography/computed tomography images showed suspected large pericardial effusion. The patient was admitted and Echocardiography showed significant circumferential pericardial effusion with early tamponade effect. Subsequent bedside pericardiocentesis aspirated 800 ml blood-stained fluid and the cytology yielded metastatic adenocarcinoma with features suggestive of pulmonary primary. Pericardial effusion is a rare finding in MPS. Finding of a ?halo? around the heart should raise suspicion on the presence of pericardial effusion and confirmatory investigation such as ECG may be warranted.
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