dvd_crdz

Nuclear Medicine

Case Summary

SPECT/CT 99mTc-EDDA/HYNIC-iPSMA (PSMA IMAGING) and 99mTc-HMDP (BONE IMAGING).

64 years old male patient with very high risk prostate cancer (NCCN, risk stratification) sent to our service for initial stratification. We performed the requested bone imaging study. As part of our protocol we are complementing the studies with specific prostate cancer radiotracer, as we can see. There is a clear correlation between metastatic bone lesions in both studies, but with PSMA imaging we can actually spot the primary tumor (yellow arrow) and additional pelvic nodes (second image).

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This is a bone scan of an 86 year old man, who was diagnosed with prostate cancer. The goal of the study was to exclude bony metastases.
What phenomenon can we see here and how can it be explained?](https://app.figure1.com/case-detail/06edff0a-9746-4ddb-ab32-a263f630f6bf)

HORSESHOE KIDNEY
#Horseshoekidney #renalfusion #superkidney #nuclearmedicine #DMSAIII #molecularimagins #SPECT/CT #nephrology #urology
Female patient referred to our service to perform renal scintigraphy as a potential donor. During the study we were able to observe an abnormal renal anatomy, so we complemented the study using DMSA III as a radiotracer, and SPECT / CT imaging technique.](https://app.figure1.com/case-detail/0e6fff36-e1ba-4bbf-85c1-564973d3aad3)

MDP-99mTc for prostate cancer.
superscan pattern, showing no kidneys.](https://app.figure1.com/case-detail/1cd6fbe9-b9e5-4035-a11b-93195037e19e)

Here is his bone scan. Most of the darker areas represent metastatic lesions from prostate cancer.](https://app.figure1.com/case-detail/243417aa-d940-4a67-946f-3f3b4b628a25)

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)