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13 Cards in this Set

  • Front
  • Back
Superscan
Mets (Prostate> Lung, Breast)
Hyperparathyroidism
Renal Osteodystrophy
Osteomalacia
Paget Dz
Myelofibrosis
Acute Renal Failure (No Kidneys Identified)
Diffuse Periosteal Uptake
Hypertrophic Pulmonary Osteoarthropathy (Bronchogenic Carcinoma, CF, Emphysema, IBD)
Thyroid Acropachy
Non Accidental Trauma
Physiologic in 1st 6 mo
Prostoglandin therapy - CHD
Vascular Insufficiency
Pachydermoperiostitis (Primary HPO)
Focal Cold Defect
EG
Hemangioma (In Vertebral Body)
Metabolic Dz (Brown Tumor and Gaucher’s Dz)
Multiple Myeloma/ Plasmacytoma
Acute Infarction (Chronic AVN has uptake)
Osteomyelitis (Early in vertebral bodies using I-111 in Adults and in Long Bones using T99m-MDP in Children)
Bone Cysts (UBC, ABC)
Radiation
Some Lytic Mets
Extraosseous Activity on Bone Scan
Free Pertechnitate: THYROID, STOMACH
Hypercalcemia: LUNGS, KIDNEYS, STOMACH
Infarction: HEART, SPLEEN (Sickle Cell)
Dehydration: Kidneys
Liver – Mets, Aluminum contamination, Colloid from prep
Diffuse soft tissues: myositis, tumor with Ca, renal failure, Etidronate, off peak
False Positive Cardiac Study
Attenuation (Breast Attenuation is Anterior)
Upward Creep of the Diaphragm (With Very Vigorous Exercise)
LBBB (decreased Uptake in the Septum)
Aortic Valve Stenosis (Asymetric Hypertrophy of Lateral Free Wall Results in increased Uptake. looks like Relative decreased Elsewhere.)
Infiltrative Dz (Amyloid)
Myocarditis (Chagas Dz)
Diffusely Increased Thyroid Uptake (>30% @ 24 hrs)
Graves’ Dz
Primary increased Pituitary Secretion of TSH
Early Hashimoto’s Thyroiditis
Iodine Starvation
Hyperactive Adenoma (Unilateral)

(If the 4 hour uptake > 24 hour uptake, then there is very rapid conversion to thyroid hormone.)
Heterogeneous Thyroid Uptake
Toxic Multinodular Goiter
Multiple Adenomatous Nodules
Hashimoto Thyroiditis
Cancer
Diffusely decreased Thyroid Uptake (<10% @ 24 hrs)
Hypothyroidism (TSH Resistance or decreased Pituitary Secretion of TSH)
Subacute Thyroiditis (Late Hashimoto, de Quervain)
Medications (PTU, Interferon, Steroids)
Exogenous T4
Iodine (CT Scan)
No Thyroid Gland Visualized
Subacute Thyroiditis
Exogenous T4
Ectopic Thyroid
Ablation (Surgery or I-131)
Cold Thyroid Nodule
CATCH PALLM
Carcinoma (10-20%)
Adenoma
Thyroiditis
Colloid Cyst
Hemorrhage
Parathyroid Adenoma
Abscess
Lymph Node
Lymphoma
Mets
Persistent uptake on Parathyroid scan (Sestamibi)
Parathyroid Adenoma
Parathyroid Hyperplasia
Thyroid Adenoma
Thyroid Carcinoma
Lymph Node Involved with Sarcoid

Alternative = Thallium - Pertechnetate
Abnormal HIDA Tracer Collection
Bile Leak (Postsurgical or Trauma)
Choledochal Cyst
Caroli’s Dz
Duodenal Diverticulum
Delayed Renal Uptake and Excretion
Arterial Stenosis (decreased Flow and Uptake)
Venous Thrombosis (decreased Flow and Uptake)
ATN (Normal Flow, decreased Uptake)
Rejection
Glomerulonephritis
Chronic Renal Failure
Obstruction (Dilated Calyces)