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Increased Activity in the Lung Field on Gastroesophageal Scintigraphy Is Not Always Due to Aspiration

Zhao, Xiaofei MD*†; Zhuang, Hongming MD, PhD, FACNM

doi: 10.1097/RLU.0000000000001739
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Elevated activity in the lung field on gastroesophageal scintigraphy (milk scan) generally indicates aspiration of the gastric content that has refluxed to the pharynx. An 18-year-old man underwent to gastroesophageal scintigraphy to assess the rate of gastric emptying. Increased activity was noted in the left lower lung field during the image acquisition. Careful analysis of the images showed that this activity was caused by hiatal herniation.

From the *Department of Nuclear Medicine, Children’s Hospital of Fudan University, Shanghai, People’s Republic of China; and †Department of Radiology, The Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Received for publication May 7, 2017; revision accepted May 10, 2017.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Xiaofei Zhao, MD, Department of Nuclear Medicine, Children’s Hospital of Fudan University, No. 399 Wanyuan Road, Minhang District, Shanghai 201102, People’s Republic of China. E-mail:

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