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Hepato-cardiac juxtaposition secondary to right hemi-diaphragmatic eventration on 99mTc-Sestamibi myocardial perfusion scintigraphy

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Abstract

Liver radiotracer activity interfering with the inferior myocardial wall in a patient undergoing myocardial perfusion imaging (MPI) with 99mTc-Sestamibi is a known pitfall. We report a patient with pituitary macroadenoma who was subjected to stress-MPI study for pre-anesthetic clearance. The post-stress raw image showed the liver radiotracer activity in close approximation to the anteroseptal wall of the left ventricular myocardium, secondary to right hemi-diaphragmatic eventration.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Ashwin Singh Parihar MD, Harpreet Singh MD,  Karthikeyan MBBS, Shelvin Kumar Vadi MD & Madan Parmar MD

  2. Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

    Anil Bhansali MD, DM

Authors
  1. Ashwin Singh Parihar MD
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  2. Harpreet Singh MD
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  3. Anil Bhansali MD, DM
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  4. Karthikeyan MBBS
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  5. Shelvin Kumar Vadi MD
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  6. Madan Parmar MD
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Corresponding author

Correspondence to Harpreet Singh MD.

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Parihar, A.S., Singh, H., Bhansali, A. et al. Hepato-cardiac juxtaposition secondary to right hemi-diaphragmatic eventration on 99mTc-Sestamibi myocardial perfusion scintigraphy. J. Nucl. Cardiol. 28, 750–751 (2021). https://doi.org/10.1007/s12350-020-02033-3

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  • DOI: https://doi.org/10.1007/s12350-020-02033-3

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