HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Khedkar, N. Articles by Martinez, C. Search for Related Content PubMed PubMed Citation Articles by Khedkar, N. Articles by Martinez, C.

Large Focal Defect on Liver/Spleen Scan Caused by Fatty Liver and Masquerading as Neoplasm

Departments of Nuclear Medicine, Internal Medicine and Hepatology, Lutheran General Hospital, Park Ridge, Illinois

Correspondence: For reprints contact: Nanda Khedkar, MD, Associate Director, Nuclear Medicine Depart., Lutheran General Hospital, Park Ridge, IL 60068.

ABSTRACT

Focal fatty infiltration of the liver may be mistaken for metastatic disease, primary tumor or other space-occupying lesions on CT or ultrasound. Usually, a ^99mTc-sulfur colloid scan is sensitive in documenting the presence of Kupffers cell in such a process. We present a case that was suggestive of focal fatty infiltrate on a CT scan, nondiagnostic on ultrasound, and seen as a large focal defect on the ^99mTc-sulfur colloid liver/spleen scan. A ¹³³Xe inhalation study, however, did show uptake in the area of fatty infiltration. A needle biopsy confirmed the diagnosis.