Document Type: Case Report
Department of Nuclear Medicine, Jam Hospital, Tehran, Iran
Department of Nuclear Medicine, Rasoul Akaram Hospital, Iran University of Medical Sciences, Tehran, Iran
Department of Nuclear Medicine, University Hospital RWTH, Aachen, Germany
Department of Pulmonology, Isfahan University of Medical Science, Isfahan, Iran
Department of Nuclear Medicine, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical sciences, Tehran, Iran
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.