RESUMO
A man with an enlarged and tender left calf, chest pain, intermittant hemoptysis, and shortness of breath was referred for a lung scan. Positioning for the ventilation part of the study revealed a high level of radioactivity in the lungs, kidneys, bladder, colon, and salivary glands. The patient denied previous hospital studies and suggested that he may have become contaminated while transporting radioactive materials as an independent truck driver. He was found to be a classic example of Munchausen's syndrome.
Assuntos
Síndrome de Munchausen/diagnóstico , Doenças Profissionais/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Humanos , Rim/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Masculino , Cintilografia , Glândulas Salivares/diagnóstico por imagem , Tromboflebite/diagnóstico , Bexiga Urinária/diagnóstico por imagemRESUMO
The bone scans of 471 cancer patients revealed 103 (22%) with one or more rib lesions. Of 69 patients who had serial studies, five (7%) had proven rib fractures, 13 (19%) had probable fractures, 25 (36%) had proven metastases, and 26 (38%) had probable metastases. By analyzing the intensity and appearance of rib lesions in serial bone scans, it was concluded that there is a high probability that rib lesions detected by bone scanning are fractures if 1) they are focal as opposed to linear, and 2) they decrease in intensity within three to six months or they are aligned so as to involve two or more ribs in the same location.
