PMC3764695_01
Normal myocardial distribution of technetium-99m sestamibi in static images of myocardial perfusion imaging
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F1
Stress MPI showed normal perfusion findings [Figure 1].
Single photon emission tomography images showed marked activity in the stomach due to enterogastric reflux greater in intensity than myocardial uptake and linear esophageal activity due to gastroesophageal reflux
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F2
On the raw projection images, cineloop views and reconstructed slices, radiotracer concentration was seen in the stomach secondary to enterogastric reflux and retrocardiac intense linear activity was seen throughout the esophagus in the midline of the thorax, retromedial to the cardiac activity secondary to gastroesophageal reflux (GER) [Figure 2].
Technetium-99m sestamibi wholebody scan of the patient, there was no tracer retention in the esophagus and stomach and no pathologic accumulation at other parts of the body
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F3
(a) Presence of gastroesophageal reflux (GER) detected on GER scintigraphy, (b) time activity curve, (c) the esophageal activity at the upper third of the esophagus
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F4
According to the number of episodes (grade 0: No reflux, grade 1: 1-3 episodes, grade 2: >=4 episodes) the scintigraphic findings were interpreted as grade 1, according to the location (distal, middle or proximal esophagus) GER was reached proximal 1/3 of the esophagus, and according to intensity (low, moderate or high) interpreted as high [Figure 4a-c].
Hematoxylin and eosin, original magnification x100, (a) gastric hiperplastic polyp, (b) lamina propria, surrounding cystically dilated glands
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F5
Upper gastrointestinal endoscopic examination of the patient revealed minimal inflammation in the distal part of the esophagus and hyperplastic polyp in the gastric antrum and confirmed pathologically [Figure 5a and b], and there was no evidence of esophageal neoplastic pathology.