Erkan, Melih EnginKorkmaz, Ayşe Nurdanİlçe, Huri TillaAydın, MesutYıldırım, MustafaDoğan, Ahmet Semih2020-04-302020-04-3020101300-02922146-9040https://doi.org/10.5336/medsci.2008-8532https://hdl.handle.net/20.500.12684/3818WOS: 000283186700037On myocardial perfusion scintigraphy, planar projection images allow detection of both cardiac and noncardiac abnormalities, which may affect interpretation of the myocardial perfusion images, and can explain patient's symptoms so, increased and reduced extracardiac uptakes should be considered. We present such a case demonstrating the importance of systematic inspection of planar projections. A 63-year-old male with progressive exertional dyspnea and fatigue was referred for myocardial perfusion single photon emission computed tomography (SPECT) imaging for evaluating ischemic heart disease. In our case planar projection images demonstrated a large photopenic area around the heart and, mild increased lung uptake. After we performed CT pleural, pericardial effusions, and pulmonary capillary enlargement were realized. After all this findings, patient had medical theraphy for heart failure and symptoms were subsided. We suggest that physicians should be careful about inspection of planar projection, tomographic, images on GATED cardiac SPECT study. Evalution perfusion defects only may not be enough, to explain patient's symptoms.en10.5336/medsci.2008-8532info:eu-repo/semantics/openAccessCardiac-gated single-photon emission computer-assisted tomographypericardial effusionArticle30413841386WOS:000283186700037Q4Q4