Diagnosis of Pulmonary Embolism on 99mTc-Labeled Macroaggregated Albumin Lung Imaging After Hepatic Arterial Injection for Planning of Radioembolization.
case_report · Level V
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- Record sourced from PubMed, PMID 35025793.
- Also identified by DOI 10.1097/RLU.0000000000004026.
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Abstract
A 54-year-old man with hepatocellular carcinoma from alcohol-induced cirrhosis presented with hepatic encephalopathy and refractory ascites related to decompensated liver disease. MRI confirmed disease progression adjacent the site of prior radiofrequency ablation, performed 2 years prior, with associated right hepatic vein tumor thrombus. 99mTc-labeled macroaggregated albumin lung shunt imaging performed before 90Y radioembolization identified a left lower lobe wedge-shaped defect, confirmed as pulmonary embolism on CT pulmonary angiography and MRI.
Medical subject headings
- Carcinoma, Hepatocellular
- Embolization, Therapeutic
- Liver Neoplasms
- Pulmonary Embolism