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Splenic Hemangioma Presenting as a "Hot Spot" on Radiocolloid Scintigraphy

Divisions of Nuclear Medicine and General Surgery, Department of Radiology, Ottawa Civic Hospital; and the University of Ottawa, Ottawa, Ontario, Canada

Correspondence: For reprints contact: K.Y. Gulenchyn, MD, Div. of Nuclear Medicine, Ottawa Civic Hospital, 1053 Carling Ave., Ottawa, Ontario, K1Y 4E9, Canada.

ABSTRACT

The appearance of a splenic hemangioma on radiocolloid scintigraphy has been reported to be that of a focal photon deficient lesion. We report a case of a patient who presented with the opposite appearance—that of a splenic "hot spot." We postulate that this appearance results from increased local blood flow presenting a greater proportion of colloid to the reticuloendothelial cells surrounding the hemangioma.