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13 Cards in this Set
- Front
- Back
Superscan
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Mets (Prostate> Lung, Breast)
Hyperparathyroidism Renal Osteodystrophy Osteomalacia Paget Dz Myelofibrosis Acute Renal Failure (No Kidneys Identified) |
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Diffuse Periosteal Uptake
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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) |
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Focal Cold Defect
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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 |
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Extraosseous Activity on Bone Scan
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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 |
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False Positive Cardiac Study
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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) |
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Diffusely Increased Thyroid Uptake (>30% @ 24 hrs)
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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.) |
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Heterogeneous Thyroid Uptake
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Toxic Multinodular Goiter
Multiple Adenomatous Nodules Hashimoto Thyroiditis Cancer |
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Diffusely decreased Thyroid Uptake (<10% @ 24 hrs)
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Hypothyroidism (TSH Resistance or decreased Pituitary Secretion of TSH)
Subacute Thyroiditis (Late Hashimoto, de Quervain) Medications (PTU, Interferon, Steroids) Exogenous T4 Iodine (CT Scan) |
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No Thyroid Gland Visualized
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Subacute Thyroiditis
Exogenous T4 Ectopic Thyroid Ablation (Surgery or I-131) |
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Cold Thyroid Nodule
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CATCH PALLM
Carcinoma (10-20%) Adenoma Thyroiditis Colloid Cyst Hemorrhage Parathyroid Adenoma Abscess Lymph Node Lymphoma Mets |
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Persistent uptake on Parathyroid scan (Sestamibi)
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Parathyroid Adenoma
Parathyroid Hyperplasia Thyroid Adenoma Thyroid Carcinoma Lymph Node Involved with Sarcoid Alternative = Thallium - Pertechnetate |
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Abnormal HIDA Tracer Collection
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Bile Leak (Postsurgical or Trauma)
Choledochal Cyst Caroli’s Dz Duodenal Diverticulum |
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Delayed Renal Uptake and Excretion
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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) |