Park H M, Jay S J, Brandt M J, Holden R W
J Nucl Med. 1981 Apr;22(4):349-51.
The pulmonary scintigraphic findings from four patients with fibrosing mediastinitis due to histoplasmosis are reported. The ventilation/perfusion (V/Q) mismatch mimicked pulmonary emboli. However, in these cases the chest radiographs and/or gallium-67 scintigraphy were abnormal, suggesting mediastinal or hilar disease. Awareness of the nonembolic conditions that can result in V/Q mismatches is important in the interpretation of lung scans.
报告了4例因组织胞浆菌病导致纵隔纤维化患者的肺部闪烁扫描结果。通气/灌注(V/Q)不匹配表现类似肺栓塞。然而,在这些病例中,胸部X光片和/或镓-67闪烁扫描异常,提示纵隔或肺门疾病。认识到可导致V/Q不匹配的非栓塞性疾病对于解读肺部扫描很重要。