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Incidental Finding of Moderna COVID-19 Vaccination-Related Axillary Lymphadenopathy on 201Tl Myocardial Perfusion Imaging. | LitMetric

AI Article Synopsis

  • A 71-year-old man with a history of thyroid and kidney cancers experienced chest tightness and pain after receiving the first dose of the Moderna COVID-19 vaccine.
  • Coronary heart disease was suspected, leading to a referral for myocardial perfusion imaging (MPI), which revealed an unexpected finding.
  • The imaging showed enlarged lymph nodes in the left axillary region, suggesting reactive hyperplasia due to the vaccine injection in the left deltoid muscle.

Article Abstract

We presented here a 71-year-old man with a history of thyroid cancer post total thyroidectomy and 131I ablation and right renal cell carcinoma post right partial nephrectomy. He reported persistent chest tightness and pain after the first dose of the Moderna COVID-19 (mRNA-1273) vaccine. Thus, coronary heart disease was suspected, and the patient was referred for MPI (myocardial perfusion imaging). Focal 201Tl uptake in the left axillary region was found incidentally on MPI, and SPECT/CT revealed enlarged benign-looking lymph nodes. The diagnostic is in favor of reactive hyperplasia after the intramuscular injection of vaccine into left deltoid muscle.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820753PMC
http://dx.doi.org/10.1097/RLU.0000000000003993DOI Listing

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