Top Row: Post, RPO, R lateral;
Bottom Row: LPO, L lateral, Anterior
View main image(pe) in a separate image viewer
View second image(vq). Ventilation images. Sequential 1 minute frames.
The chest radiograph (not shown) was normal.
Full history/Diagnosis is available below
The perfusion images are markedly abnormal, with nearly absent perfusion to over 60% of the left lung and over 80% of the right lung. The residual perfusion is noted in the superior segment of the right lower lobe as well as a portion of the right middle lobe. On the left, residual perfusion is to the anterior segment of the left upper lobe as well as the posterior segment of the left upper lobe and lingula.
Given the patients hypotension, lytic agents should at least be considered in the patient's management.
References and General Discussion of Ventilation Perfusion Scintigraphy (Anatomic field:Lung, Mediastinum, and Pleura, Category:Organ specific)
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