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Title: Unusual ventilation perfusion scintigram in a case of immunologic pulmonary edema clinically simulating pulmonary embolism

Journal Article · · Clin. Nucl. Med.; (United States)

A case of immunologic pulmonary edema secondary to hydrochlorothiazide allergy developed in a 55-year-old woman that clinically simulated pulmonary embolism. The patient had abnormal washin images with normal washout images on an Xe-133 ventilation study. On the perfusion study, large bilateral central and posterior perfusion defects were present that showed an unusual mirror image pattern on the lateral and posterior oblique views. Resolution of radiographic and scintigraphic abnormalities occurred over a 3-day period in conjunction with corticosteroid therapy.

Research Organization:
Tulane Univ. Medical Center, New Orleans, LA (USA)
OSTI ID:
5443899
Journal Information:
Clin. Nucl. Med.; (United States), Vol. 12:11
Country of Publication:
United States
Language:
English