SPECT/CT imaging of a retroperitoneal nodule in a patient with history of infiltrating renal urothelial carcinoma

Authors

  • Duane Schonlau
  • David Barker
  • Nathan Hall

DOI:

https://doi.org/10.3941/jrcr.v3i9.285

Keywords:

SPECT/CT, Splenule, Accessory Spleen, Renal Urothelial Carcinoma, Nephrectomy

Abstract

A 62 year old woman status post radical nephroureterectomy for high grade urothelial carcinoma was found on CT to have a 1 cm retroperitoneal nodule in the nephrectomy bed. The nodule's differential diagnosis included recurrent urothelial carcinoma versus relocation of the patient's splenule seen on earlier CT imaging. We report using SPECT/CT with Tc-99m labeled denatured red blood cells to definitively diagnose the nodule as a relocated splenule.

Author Biographies

Duane Schonlau

Medical Student, College of Medicine

5696 Kilbury Lane , Hilliard OH 43026

David Barker

Assistant Professor, Department of Radiology

395 West 12th Avenue, Fourth Floor

Columbus, OH 43210 

Nathan Hall

Assistant Professor, Division Chief Nuclear Medicine, Nuclear Medicine Fellowship Director, Department of Radiology

395 West 12th Avenue, Fourth Floor

Columbus, OH 43210

Published

2009-08-23

Issue

Section

Nuclear Medicine / Molecular Imaging