Nucl Med Mol Imaging.  2015 Sep;49(3):246-247. 10.1007/s13139-015-0330-8.

A Rare Case of Isolated Pericardial Effusion Detected by SPECT/CT on a Post-Therapeutic Radioiodine Whole-Body Scan

Affiliations
  • 1Department of Nuclear Medicine, National Cancer Institute, No. 4, Jalan P7, Presint 7, 62550 Putrajaya, Malaysia. teikhin.tan@gmail.com
  • 2Department of Nuclear Medicine, Kuala Lumpur Hospital, Jalan Pahang 50586 Kuala Lumpur, Malaysia.

Abstract

We reported a rare finding of isolated pericardial uptake detected by SPECT/CT on posttherapeutic radioiodine whole body scan. This case highlights the usefulness of hybrid SPECT/CT, with subsequent correlation with biochemical results, in ruling out metastatic pericardial effusion in the postsurgical radioiodine remnant ablation setting. The effusion was resolved after reinstituted thyroid replacement therapy. Recombinant thyrotropin is recommended to avoid such rare but life-threatening complication.

Keyword

Pericardial effusion; SPECT/CT; Whole body imaging

MeSH Terms

Pericardial Effusion*
Thyroid Gland
Thyrotropin
Whole Body Imaging
Thyrotropin
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