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CC BY-NC-ND 4.0 · World J Nucl Med 2015; 14(03): 202-204
DOI: 10.4103/1450-1147.163255
Original article

V/Q Matched Defect Larger than Hiatal Hernia Itself

Jason Wachsmann
Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Brigham and Women′s Hospital, Harvard Medical School, Boston, MA, USA
,
Chun Kim
Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Brigham and Women′s Hospital, Harvard Medical School, Boston, MA, USA
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We present the case report of a patient 83 year old female who developed progressive shortness of breath and subsequently underwent scintigraphic evaluation of her symptoms with a ventilation/perfusion scintigraphic exam. A matched perfusion defect was seen involving the basal segments of the left lower lobe. Following this, the patient was examined with a contrast enhanced CT of the chest to further investigate the defect, which revealed compression of the bronchi and vasculature of the left lower lobe basal segments by the hernia larger than the actual hernia. To our knowledge there has not been a case report of a large hiatal hernia as a cause of matched lower lobe defect.

Keywords

Hiatal hernia - lung scintigraphy - matched defect - ventilation/perfusion scan


Publication History

Article published online:
21 May 2022

© 2015. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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