Case based learning in Nuclear Medicine

Houston, TX
Joined July 2013
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🔥 When tumor follows the portal venous tree… 18F-DOTATATE PET demonstrates an intensely somatostatin receptor–avid pancreatic neuroendocrine tumor with tumor thrombus extending into the portal vein and its intrahepatic branches. The branching DOTATATE-avid activity within the portal venous system beautifully delineates the extent of portal venous tumor invasion. A striking example of how molecular imaging can demonstrate not only the primary neuroendocrine tumor, but also its pattern and extent of vascular involvement. #nuclearmedicine #dotatate #PETCTScan #NeuroendocrineTumor #theranostics #MolecularImaging #radiology
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🩸 Can you spot the bleed? Tc-99m labeled red blood cell scan demonstrating active gastrointestinal bleeding at the splenic flexure. On the dynamic images, a new focus of radiotracer activity appears within the colon and subsequently increases in intensity and moves along the bowel lumen—the classic scintigraphic pattern of active GI bleeding. Dynamic imaging is key: appearance → increasing activity → intraluminal movement. #nuclearmedicine #GIBleed #rbcscan #scintigraphy #MedicalImaging #radiology #nuclearmedicinecases
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Happy Nuclear Medicine Week!
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This FDG PET/CT demonstrates intense, symmetric FDG uptake in bilateral hilar lymph nodes, a characteristic pattern seen with sarcoidosis. 🔥 FDG uptake is not synonymous with malignancy. Activated inflammatory cells can also be highly metabolically active, resulting in prominent FDG avidity. Another great reminder that FDG PET images inflammation as well as cancer! ☢️ #NuclearMedicine #fdgpet #PETCTScan #sarcoidosis #radiology #MolecularImaging #MedicalImaging #nuclearmd
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☢️ When the HIDA scan tells the story! This case demonstrates common bile duct (CBD) obstruction on hepatobiliary scintigraphy. 🔎 Key finding: Good hepatic uptake and no biliary excretion of the radiotracer, raising concern for distal biliary obstruction. 📚 A great example of how Nuclear Medicine evaluates physiology, not just anatomy! #NuclearMedicine #hidascan #hepatobiliaryimaging #biliaryobstruction #cbdobstruction #radiology #MedicalImaging #nuclearmd
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🦁👑 Mufasa warns about Nuclear Medicine: ☢️😂 #nuclearmedicine #mufasa #radiologyhumor #nuclearmd #hakunamatata
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ase Challenge: # 79 Test your skills by providing answers in comments. Come back to check the answer key in 24 -48h. Get all the cases at: nuclearmd.com/courses #radiology #nuclearmedicine #PETCTScan #nucmed #radres
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🔍 Classic Positive Meckel’s Scan! A great nuclear medicine case demonstrating focal radiotracer uptake consistent with ectopic gastric mucosa within a Meckel’s diverticulum. ☢️ Tc-99m pertechnetate scintigraphy remains a valuable, noninvasive tool for detecting Meckel’s diverticulum, particularly in patients presenting with unexplained gastrointestinal bleeding. #nuclearmedicine #meckelsscan #meckelsdiverticulum #scintigraphy #MedicalImaging #radiology #nuclearmd
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Case Challenge: # 78 Test your skills by providing answers in comments. Come back to check the answer key in 24 -48h. Get all the cases at: nuclearmd.com/courses #Radiology #NuclearMedicine #petctscan #nucmed #RadRes
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Case 78: Paraganglioma on a I123 whole body scan and SPECT/CT Answers: d, d, b, c.
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🦴 Polyostotic Fibrous Dysplasia (McCune-Albright Syndrome) An impressive case demonstrating extensive skeletal involvement in polyostotic fibrous dysplasia, a classic manifestation of McCune-Albright syndrome. 🙏 Many thanks to Dr. Andreia Baptista Marques, Lisbon, Portugal 🇵🇹, for sharing this fascinating case. #NuclearMedicine #bonescan #fibrousdysplasia #mccunealbrightsyndrome #MedicalImaging #radiology #nuclearmedicinecases
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An unexpected finding on DOTATATE PET/CT ☢️🧠—in a patient with metastatic neuroendocrine tumor, intense intracranial somatostatin receptor uptake reveals meningiomas. A great reminder that DOTATATE can highlight more than just neuroendocrine tumors! #dotatate #meningioma #NeuroendocrineTumor #NuclearMedicine #MolecularImaging #PETCT
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MRI: Beautiful anatomy 🐴 CT: Fast and detailed 🐴 Ultrasound: It depends on the window… 🐴 Nuclear Medicine: We see what others can’t — the FUNCTION. 🦄✨☢️ Because sometimes, it takes a little molecular imaging magic to reveal the unicorn. 😎 #NuclearMedicine #MolecularImaging #radiology #theranostics #nucmed#MedicalImaging #radiologyhumor #seetheunseen ☢️
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☢️🍕 When Nuclear Medicine orders pizza… even the slices follow radiation safety! 😂 ALARA: As Low As Reasonably… Available? 😄 #NuclearMedicine #RadiationSafety #ALARA #pizzatime #medhumor
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Long weekend is here: 💃🏻🕺
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