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We present a patient with a large hiatal hernia resulting in duodenogastric reflux that was seen as abnormal activity below and behind the heart (retrocardiac) on SPECT images and on (99m)Tc-tetrofosmin cardiac SPECT raw-data projection images. Incidental findings such as extra- and retrocardiac activity in the thorax and abdomen should be included on all comprehensive cardiac SPECT reports.

Duodenogastric Reflux in a Hiatal Hernia Seen as Retrocardiac Activity on 99mTc-Tetrofosmin Cardiac SPECT Raw-Data Images