Somatostatin receptor imaging with In-111 pentetreotide has been valid
ated for the diagnosis and staging of chest tumors with neuroendocrine
differentiation such as bronchial carcinoid and small cell lung cance
r. In-111 pentetreotide uptake is not specific for neuroendocrine tumo
rs because somatostatin receptors are also expressed by white blood ce
lls, leading to the in vivo visualization sites of infection sites or
active inflammation. Pleural plaques may be due to asbestos exposure o
r tuberculosis. Presented here are three cases of In-111 pentetreotide
uptake in pleural plaques. This uptake by benign lesions may be misle
ading in the diagnostic work-up of patients with lung tumors.