Indian Journal of Nuclear Medicine
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Year : 2019  |  Volume : 34  |  Issue : 3  |  Page : 235-236

131I uptake in bronchiectasis detected by single photon emission computed tomography/computed tomography during follow-up of thyroid cancer

1 Department of Nuclear Medicine and Theranostics, “Mariano Santo” Hospital, 87100, Cosenza, Italy
2 Department of Infectious and Tropical Diseases, “St. Annunziata” Hospital, 87100, Cosenza, Italy
3 Department of Biomedicine and Prevention, University “Tor Vergata”, Rome; Department of Nuclear Medicine and Molecular Imaging, IRCCS INM Neuromed, Pozzilli (IS), Italy

Correspondence Address:
Dr. Ferdinando Calabria
Department of Nuclear Medicine and Theranostics, “Mariano Santo” Hospital, 87100, Cosenza
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.IJNM_157_18

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During follow-up of thyroid cancer, 131I whole-body scan showed intense tracer uptake in the right hemithorax of a patient previously submitted to thyroidectomy and radioiodine therapy for differentiated thyroid cancer. Thyroglobulin was undetectable at the time of the scan. Single-photon emission computed tomography/computed tomography (SPECT/CT) of the thorax correctly identified widespread bronchiectasis 131I-avid in the middle lobe of the right lung. After bronchoalveolar lavage, a bronchial specimen was positive for Mycobacterium avium infection. Hybrid imaging with SPECT/CT allowed to correctly identify a false-positive case of 131I uptake due to inflammation in a single diagnostic session, minimizing patient discomfort or misdiagnoses.

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