Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2021  |  Volume : 36  |  Issue : 1  |  Page : 46-49

An unusual case of atrial wall cardiac sarcoidosis detected on fluorine-18 fluorodeoxyglucose positron emission tomography-computed tomography scan


1 Department of Nuclear Medicine, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2 Department of Gastroenterology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
3 Department of Respiratory Medicine, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Raksha Jeevan Rao Kulkarni
Department of Nuclear Medicine, Lilavati Hospital and Research Centre, A-791, Bandra Reclamation, Bandra West, Mumbai - 400 050, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_178_20

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Isolated cardiac sarcoidosis (ICS) accounts for 5%–10% of patients with sarcoidosis. It can involve atrioventricular node causing heart block, as well as the basal septum, papillary muscles, focal regions in the free wall, and the myocardium being more commonly involved. The diagnosis is achieved on magnetic resonance imaging (MRI) and endomyocardial biopsy. Recently, Fluorine-18 fluorodeoxyglucose positron emission tomography and computed tomography (F-18 FDG PET) has been incorporated in the diagnosis as well as management algorithm. We describe an interesting case of ICS detected on F-18 FDG PET and MRI and discuss its role in the management of this rare presentation.


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