Angiographic and scintigraphic findings in fibrosing mediastinitis

Journal Article · Fri Apr 01 04:00:00 EST 1983 · Clin. Nucl. Med.; (United States)

DOI:https://doi.org/10.1097/00003072-198304000-00007· OSTI ID:5351705

Moreno, A J; Weismann, I; Billingsley, J L; Lundy, M N; Brown, J M; Graham, G D; Brown, T J

The clinical and morphologic findings in the case of a 47-year-old man with fibrosing mediastinitis, most probably due to histoplasmosis, are described. Radionuclide angiography demonstrated obstruction of the superior vena cava with collateral vascularization. Computed tomography demonstrated a large calcific mass interposed between the pulmonary artery and superior vena cava suggesting potential pulmonary vasculature involvement. For this reason, pulmonary scintigraphy was performed which showed right lung perfusion and ventilation defects. Radionuclide angiography and pulmonary scintigraphy complement each other in determining the extent of vascular involvement with fibrosing mediastinitis. However, contrast venography is necessary to correctly delineate the anatomy of the obstructed superior vena cava and its collaterals.

• Research Organization: Nuclear Medicine Service, William Beaumont Army Medical Center, El Paso, Texas
• OSTI ID: 5351705
• Journal Information: Clin. Nucl. Med.; (United States), Journal Name: Clin. Nucl. Med.; (United States) Vol. 8:4; ISSN CNMED
• Country of Publication: United States
• Language: English

Related Subjects

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62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
COMPUTERIZED TOMOGRAPHY
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
DISEASES
GALLIUM ISOTOPES
ISOTOPES
LUNGS
ORGANS
RADIOISOTOPE SCANNING
RESPIRATORY SYSTEM
SCINTISCANNING
TOMOGRAPHY
USES
VASCULAR DISEASES
VEINS