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Apparent Left Ventricular Aneurysm Due to Unilateral Secretion of Tc-99m Pertechnetate in a Nursing Mother with Breast Cancer

CASSIDY, DAVID B., M.D.; GOLDSTEIN, RICHARD A., M.D.; WU, DAVID B., C.N.M.T.; SANDLER, CARL M., M.D.; MADDOX, ANNE MARIE, M.D.

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This case presents a 28-year-old female patient with right breast cancer who had unilateral secretion of Tc-99m pertechnetate into her normal left breast milk during the course of a baseline stress-gated radionuclide ventriculogram. Initial evaluation of images suggested a possible left ventricular aneurysm and right ventricular enlargement. The left lateral image Showed that there Was an area of activity that was anterior to the heart. A bone scan performed a few days earlier With Tc-99m MDP Showed no breast activity. Radionuclide ventriculography eight months later showed normal cardiac structures and wall motion.

From the Department of Medicine and Radiology, The University of Texas Medical School at Houston,Houston, Texas

© Lippincott-Raven Publishers.