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Technetium-99m-Medronate Uptake in Hepatic Necrosis Associated with Budd-Chiari Syndrome

Divisions of Diagnostic Radiology and Nuclear Medicine, Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia

Correspondence: For reprints contact: Timothy S. Burke, MD, Box 1, MCV Station, Richmond, VA 23298-0001.

ABSTRACT

A ^99mTc-MDP bone scan performed on a 52-yr-old female for possible bone metastasis revealed prominent hepatic uptake. Subsequently, a ^99mTc-SC scan revealed tracer uptake in the caudate lobe with diminished uptake in the remainder of the liver. Further imaging with Doppler ultrasound and hepatic venography confirmed a diagnosis of Budd-Chiari syndrome. Hepatic necrosis, demonstrated on CT imaging, was secondary to Budd-Chiari syndrome and was felt to be the cause of ^99mTc-MDP hepatic uptake in this patient.