A rare cause of tube arcing artifact seen in computed tomography image of a positron emission tomography/computed tomography scanner

Tube arcing artifact is known to be caused by a temporary short circuit in the X-ray tube causing momentary loss of X-ray output. It is seen as near-parallel and an equidistant streak pattern on transaxial computed tomography (CT) images and as a “horizontal” hypodense band on the coronal and sagittal CT images. This artifact can be a random occurrence and was caused in this particular case due to voltage fluctuations in the high-voltage supply transformer supplying the rotor of the anode in the X-ray tube. This problem was initially corrected by reducing the tube voltage to 120 kV from the original 140 kV and, subsequently, replacing the faulty transformer. This kind of artifact, which is a very rare situation, can affect the image quality, and could also be an early sign of equipment failure. To the authors’ knowledge, such an artifact has not been reported till date in a clinical scenario. Hence, we would like to report a rare situation of tube arcing artifact along with a unique remedy.