Covid-19 manifestation on Tl-201 myocardial perfusion SPECT/CT

Document Type: Case Report

Authors

1 Department of Nuclear Medicine, Jam Hospital, Tehran, Iran

2 Department of Nuclear Medicine, Rasoul Akaram Hospital, Iran University of Medical Sciences, Tehran, Iran

3 Department of Nuclear Medicine, University Hospital RWTH, Aachen, Germany

4 Department of Pulmonology, Isfahan University of Medical Science, Isfahan, Iran

5 Department of Nuclear Medicine, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical sciences, Tehran, Iran

Abstract

A 67 years old woman was referred to nuclear medicine center for myocardial perfusion imaging (MPI) for assessment of ischemic heart dieses (IHD).She had a history of atypical chest pain and dyspnea since about 10 days before admission. The MPI SPECT/CT was performed by stress/redistribution Tl-201 protocol. MPI was interpreted as relatively good coronary flow with no appreciable stress induced ischemia. SPECT-CT images revealed multifocal, bilateral and peripheral ground-glass opacities in lungs with subtle background uptake of Tl-201. Considering Covid-19 outbreak, the first diagnosis based on chest CT was Covid-19. This case emphasizing importance of attention to non-cardiac findings in patients undergoing myocardial perfusion imaging, especially review of lung window images in SPECT/CT protocols in the era of covid-19.

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