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From Wikipedia, the free encyclopedia. A ventilation/perfusion lung scan, also called a V/Q lung scan, is a type of medical imaging using scintigraphy and medical isotopes to evaluate the circulation of air and blood within a patient's lungs, in order to determine the ventilation/perfusion ratio.he ventilation and perfusion phases of a V/Q lung scan are performed together and may include a chest x-ray for comparison or to look for other causes of lung disease. A defect in the perfusion images requires a mismatched ventilation defect to indicate pulmonary embolism.
Perfusion scan from a patient with severe chronic thromboembolic pulmonary hypertension. The right lung has nearly no blood flow. The left lung has multiple wedge shaped blood flow defects. The ventilation perfusion scan or VQ scan is used to evaluate for the presence of blood clots in the lungs.