Nuclear Medicine

Opening Round 1: Skeletal system: Janus - two-headed Roman god 2: Skeletal system: Stress fractures 3: Skeletal system: Paget's Disease 4: Skeletal system: Rib fractures and sternotomy 5: Skeletal system: Pedal osteomyelitis - three phase positive 6: Skeletal system: Abnormal breast uptake 7: Skeletal system: Neuroblastoma 8: Skeletal system: Extra-renal pelvis and mobile solitary right kidney 9: Skeletal system: Lymphedema 10: Skeletal system: Bone-abnormalities of renal position 11: Skeletal system: Metastatic prostate cancer 12: Skeletal system: Breast cancer 13: Skeletal system: Fibrous Dysplasia 14: Skeletal system: Radiopharmaceutical infiltration, scatter, and lymph node uptake 15: Skeletal system: Sacral insufficiency fracture 16: Skeletal system: Multiple insufficiency fractures 17: Cardiovascular system: LAD ischemia 18: Cardiovascular system: Apical infarct 19: Cardiovascular system: Dual isotope study - mild inferior ischemia 20: Cardiovascular system: Breast attenuation, wall thickening 21: Cardiovascular system: Emergency room chest pain 22: Cardiovascular: Planar thallium with increased lung activity 23: Cardiovascular system: Cardiomyopathy on RVG/MUGA 24: Pulmonary system: High probability for pulmonary embolus 25: Pulmonary system: Hot spots on lung scan 26: Pulmonary system: V/Q - Stripe sign, emphysema 27: Pulmonary system: Hampton's hump-Intermediate probability 28: Infection and inflammation: Sarcoidosis 29: Infection and inflammation: Intra-abdominal abscess 30: Oncology: Bone/Gallium - Stage IV Hodgkin's 31: Oncology: Ga-67 - non-Hodgkins lymphoma pre- and post-therapy 32: Oncology: FDG PET - Single pulmonary nodule 33: Primary brain tumor 34: Oncology - Scintimammography 35: Hepatobiliary system: Cholescintigraphy - Normal study 36: Hepatobiliary system: Acute cholecystitis 37: Hepatobiliary system: Morphine-augmented cholescintigraphy 38: Hepatobiliary system: Biliary Leak 39: Hepatobiliary system: Cavernous hemangioma of the liver 40: Gastrointestinal system: Tc-99m RBC colonic bleeds 41: Gastrointestinal system: Meckel's diverticulum 42: Gastrointestinal system: Diabetic gastroparesis 43: Gastrointestinal system: "Milk" study - gastroesophageal reflux 44: Central nervous system: Brain death 45: Central nervous system: Cerebral infarct 46: Radionuclide cystography 47: Diuretic renography - unilateral obstruction 48: Renal radiopharmaceuticals 49: Genitourinary system: Diuretic renography-nonobstructed hydronephrosis 50: Genitourinary system: Transplant kidney urinary leak 51: Genitourinary system: Non-viable kidney post-transplantation 52: Genitourinary system: Renal transplant with acute tubular necrosis 53: Genitourinary system: Testicular torsion 54: Endocrine system: Cold thyroid nodule 55: Endocrine system: Hyperthyroidism - thyroiditis 56: Endocrine system: Graves' disease 57: Endocrine system: I-131 star artifact 58: Endocrine system: Hyperparathyroidism 59: Endocrine system: Parathyroid adenoma Fair Game 60: Skeletal system: L-5 pars articularis defect 61: Bone: Tibial osteomyelitis - three-phase positive bone scan 62: Skeletal system: Hepatoblastoma 63: Skeletal system: Sickle cell disease 64: Skeletal system: Osteosarcoma 65: Skeletal system: muscle injury 66: Skeletal system: Pleural uptake 67: Skeletal system: Hot kidneys, radiation nephritis and spinal photopenia 68: Skeletal system: Splenic uptake 69: Skeletal system: Heterotopic ossification 70: Skeletal system: Superscan secondary to metastatic prostate cancer 71: Skeletal system: Soft tissue uptake in lung mass 72: Skeletal system: prostate cancer bone metastases, axial distribution 73: Skeletal system: Hyperparathyroidism 74: Bone: Osteosarcoma metastatic to lung 75: Skeletal system: Reflex sympathetic dystrophy 76: Skeletal system: Spontaneous osteonecrosis of distal femur 77: Skeletal system: Metastases to bone and liver 78: Skeletal system: myocardial uptake 79: Skeletal metastases: Metastasis to clivus 80: Skeletal system: Cold spine defects 81: Skeletal system: Metastatic calcification in lungs and kidneys 82: Quality control: Gamma camera floods 83: Cardiovascular system: Inferior lateral wall infarction 84: Cardiovascular system: Dipyridimole-induced reversible inferior wall ischemia 85: Cardiovascular system: adenosine stress - apical infarct, anterior-lateral ischemia 86: Cardiovascular system: viability, fixed LAD defect 87: Cardiovascular system: Bullseye, reporting results 88: Cardiovascular system: Inadequate stress 89: Cardiac: Silent lateral wall ischemia 90: Cardiovascular system: LBBB 91: Cardiovascular system: RBC labeling for RVG/MUGA 92: Cardiac: Calculation of LVEF for RVG (MUGA) 93: Cardiovascular system: RVG/MUGA technique 94: Pulmonary system: Emphysema due to alpha-1 antitrypsin deficiency 95: Pulmonary system: Tc-99m DTPA ventilation study with aerosol clumping 96: Pulmonary system: Low probability ventilation perfusion scan 97: Pulmonary system: Intermediate probability and pregnancy 98: Infection and inflammation: Tc-99m HMPAO leukocytes and osteomyelitis 99: Infection and inflammation: Tc-99m HMPAO leukocytes - free Tc-99m pertechnetate 100: Infection and inflammation: Intra-abdominal abscess 101: Infection and inflammation: Pericarditis - Ga-67 102: Oncology: Neuroectodermal tumors 103: Oncology: Post-chemotherapy Ga-67 findings 104: Oncology: F-18 FDG PET - Lymphoma 105: Oncology: F-18 FDG PET - Lung cancer staging 106: Oncology: F-18 FDG PET - colorectal cancer metastatic to liver 107: Oncology: F-18 FDG PET - bronchogenic cancer metastatic to brain 108: Oncology: Thallium-201 - Intracranial lymphoma 109: Oncology: Melanoma lymphoscintigraphy 110: Oncology: Breast cancer lymphoscintigraphy 111: Hepatobiliary system: Delayed biliary-to-bowel transit 112: Hepatobiliary system: RIM sign 113: Hepatobiliary system: High-grade biliary obstruction 114: Hepatobiliary system: Hepatic dysfunction 115: Hepatobiliary system: Acute cholecystitis and biliary obstruction 116: Hepatobiliary system: Biliary Atresia 117: Hepatobiliary system: Cavernous hemangioma of the liver 118: Hepatobiliary system: Splenic remnant 119: Gastrointestinal system: gastrointestal bleed secondary to angiodysplasia 120: Gastrointestinal system: Tc-99m RBC Scan - Axillobifemoral graft 121: Gastrointestinal system: Tc-99m RBCs - free pertechnetate vs. gastric bleeding 122: Gastrointestinal system: Rectal bleeding 123: Central nervous system: Seizure disorder 124: Central nervous system: Alzheimer's disease 125: Central nervous system: Pick's Disease 126: Genitourinary system: Acute renal transplant rejection 127: Genitourinary system: Renal insufficiency - small kidneys, poor function 128: Genitourinary system: Captopril renography 129: Primary megaureter 130: Genitourinary system: Pyelonephritis and Tc-99m DMSA 131: Endocrine system: Hot thyroid nodule 132: Endocrine system: Lingual thyroid 133: Endocrine system: Thyroid left lobe agenesis - Graves' disease 134: Endocrine system: mediastinal parathyroid adenoma 135: Endocrine system: MIBG - pheochromocytoma Challenge 136: Skeletal system: Arterial injection, boot artifact, photopenic attenuation artifact 137: Skeletal system: Improved specificity with bone scan lumbar SPECT 138: Skeletal system: Pulmonary hypertrophic osteoarthropathy 139: Skeletal system: Gangrene of toes 140: Skeletal system: Avascular necrosis of metatarsal head (Frieberg's disease) 141: Skeletal system: Neuroblastoma mimicking osteomyelitis 142: Skeletal system: Fibrous dysplasia, McCune Albright syndrome 143: Bone: Renal osteodystrophy 144: Skeletal system: Lumbar spinal fusion, renal transplant 145: Skeletal system: Metastases to bone (cold) and adrenal gland 146: Bone: Osteosarcoma and Tl-201 147: Skeletal system: Avascular necrosis of femoral heads 148: Musculoskeletal system: Lymphoscintigraphy of the lower extremities 149: Cardiovascular system: Dobutamine stress 150: Cardiovascular system: Patient movement artifact 151: Cardiovascular system: Breast attenuation 152: Cardiovascular system: Dipyridimode, inferior ischemia, overlying bowel activity 153: Cardiovascular system: Attenuation due to changing breast position 154: Cardiovascular system: Tl-201 viability study 155: Cardiovascular system: Planar thallium-201 with ischemia 156: Cardiovascular system: NH3/FDG cardiac viability study 157: Cardiovascular system: Doxorubicin toxicity 158: Cardiac: Pyrophosphate SPECT infarct 159: Cardiovascular system: Superior vena cava obstruction 160: Pulmonary system: High probability for pulmonary embolus 161: Pulmonary system: Stripe sign 162: Pulmonary system: Unilateral matched ventilation perfusion abnormality 163: Pulmonary system: Right to left shunt demonstrated by Tc-99m MAA 164: Throbophlebitis: AcutTect(R) (Tc-99m apcitide) 165: Infection and inflammation: In-111 oxine WBCs - right ileum osteomyelitis 166: Infection and inflammation: Osteomyelitis of the spine 167: Inflammation and infection: FDG PET - Paraspinal infection 168: Infection and inflammation: Knee arthoplasty - rule out infection 169: Oncology: FDG - Hodgkin's disease and muscle tension artifact 170: Oncology: F-18 FDG - Melanoma 171: Oncology: Gamma camera FDG PET 172: Oncology: F-18 FDG - diabetic patient 173: Oncology: Brain lymphoma vs. infection in AIDS 174: Oncology: Tc-99m CEA colorectal carcinoma recurrence 175: Oncology: In-111 ProstaScint - Prostate cancer 176: Oncology: OctreoScan - Glomus tympanicum 177: Hepatobiliary system: Choledochal cyst 178: Hepatobiliary system: Chronic acalculous cholecystitis 179: Hepatobiliary system: Post-cholecystectomy syndrome 180: Hepatobiliary system: Cholecystojujunostomy 181: Hepatobiliary system: Focal nodular hyperplasia (FNH) 182: Hepatobiliary system: Hot spot Tc-99m SC imaging 183: Gastrointestinal system: Tc-99 RBCs - small bowel bleed 184: Gastrointestinal system: Peritoneal-pleural scan 185: Gastrointestinal system: Pulmonary aspiration 186: Gastrointestinal system: Peritoneal scan - Patent Denver shunt 187: Central nervous system: Gamma camera quality control 188: Central nervous system: Herpes encephalitis 189: Central nervous system: Normal pressure hydrocephalus 190: Central nervous system: Huntington's Chorea 191: Central nervous system: Cerebrospinal fluid leak 192: Genitourinary system: Urinoma 193: Genitourinary system: Diuretic renography - bilateral obstruction 194: Genitourinary system: Torsion of testicular appendage, epidymitis, delayed torsion 195: Endocrine system: Therapy of toxic nodule 196: Endocrine system: Toxic nodular goiter and thyroid cancer 197: Endocrine system: Thyroid cancer whole body scan 198: Endocrine system: FDG-PET and thyroid cancer 199: Endocrine system: Adrenocortical scintigraphy 200: Endocrine system: Bone scan and I-131 MIBG - Neuroblastoma