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Gallium-67 Scans of the Chest in Patients with Acquired Immunodeficiency Syndrome

Division of Nuclear Medicine, Department of Radiology, and Department of Medicine, NYU Medical Center/Bellevue Hospital Center, New York, New York

Correspondence: For reprints contact: Elissa Lipcon Kramer, MD, Div. of Nuclear Medicine NYU Medical Center, 560 First Ave., New York, NY 10016.

ABSTRACT

Eighty-six [⁶⁷Ga]citrate chest scans were performed in 71 adult patients with the acquired immunodeficiency syndrome. Forty-five of these patients also had Kaposi's sarcoma. Only 29 of 57 abnormal scans were correlated with abnormal chest radiographs. Chest radiographs were negative for 27 scans and unavailable for one. Several scan patterns were seen. Diffusely increased lung uptake was seen most commonly with Pneumocystis carinii pneumonia, but also other infections and noninfectious inflammatory conditions. Focal uptake corresponding to regional lymph node groups occurred most often with Mycobacterium avium-intracellulare but also with lymphoma. Localized intrapulmonary uptake was seen in bacterial pneumonias. Perihilar activity occurred in two cases. When chest radiographs were abnormal and ⁶⁷Ga scans negative, the most common diagnosis was pulmonary Kaposi's sarcoma.

FOOTNOTES

Presented at the Annual Meeting of the Society of Nuclear Medicine, June 23, 1986, Washington, DC.

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