MIBG Case 7

Details on the Request Card

34 year old female with severe hypertension and episodes of flash pulmonary oedema. Raised urinary catecholamines but normal CT abdomen ? phaeochromocytoma

Procedure

Anterior and posterior images are shown, 24hrs after injection

scan image

Questions

1) What is the likely diagnosis?
2) Is this a common site?
3) How can you tell if it is malignant or not?
4) Does the episode of pulmonary oedema suggest any pathophysiology?
5) Should the patient discontinue their antihypertensives before an MIBG scintigram?

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.