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Ventilation-Perfusion Imaging in Sarcoidosis: Potential for Nonembolic Segmental Mismatch

The Departments of Radiology and Ambulatory Care Medicine, Beth Israel Medical Center, New York, New York

Correspondence: For reprints and other correspondence contact: Howard Finestone, MD, Beth Israel Medical Center, Dept. of Radiology, First Ave. at 16th St., New York, New York 10003.

ABSTRACT

We report a case of a postpartum female on oral contraceptives who presented with chest pain and was initially treated for pulmonary embolism on the basis of a lobar mismatch on ventilation-perfusion imaging. Subsequent angiography revealed that the pulmonary artery was extrinsically compressed. Gallium-67-citrate imaging documented sarcoidosis with uptake in bilateral hilar nodes, both lungs and parotid and salivary glands.

Key Words: sarcoidosis • ventilation-perfusion imaging

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