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The Johns Hopkins Medical Institutions, Baltimore, Maryland
Correspondence: For reprints contact: Danilo Espinola, MD, Div. of Nuclear Medicine, Johns Hopkins Medical Institutions, 615 North Wolfe St., Baltimore, MD 21205.
ABSTRACT
Three children with laryngeal papillomas involving the lungs had serial ventilation-perfusion scintigrams to assess results of therapy designed to reduce the bronchial involvement. Different imaging patterns were observed depending on size, number, and location of lesions. In early parenchymal involvement a ventilation-perfusion mismatch was seen. The initial and follow-up studies correlated well with clinical and radiographic findings. This noninvasive procedure is helpful in evaluating ventilatory and perfusion impairment in these patients as well as their response to treatment.
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