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Detection of an occult thymoma on ⁹⁹Tc^m-Tetrofosmin myocardial scintigraphy

¹ Department of Radiology and ² Department of Nuclear Cardiology, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK

Correspondence: Dr Kevin Bradley, Consultant Radiologist & Nuclear Medicine Physician, Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK. E-mail: kevin.bradley{at}orh.nhs.uk

Thymoma is an uncommon tumour, which is often asymptomatic and may be detected coincidentally on cross-sectional imaging performed for other reasons. We report a case of thymoma detected on myocardial scintigraphy performed for suspected coronary artery disease. Extracardiac pathology may be suggested by abnormal non-cardiac tracer uptake on myocardial scintigraphy. An awareness of the potential causes of this is essential to allow potentially life threatening non-cardiac disorders to be recognized and treated promptly.