Clinical History

This is a 44-year-old female with known lesions in the left and right lobes of her liver by CT, Ultrasound and MRI. This examination is requested to differentiate tumor vs. cavernous hemangioma.

Technique

Following the administration of 8 millicuries of 99m Tc- Sulfur Colloid, the liver and spleen were imaged using SPECT Techniques. Tranverse, sagittal, coronal and 3D Volume rendered images were obtained.

Findings

There is no colloid uptake in the known large lesion in the mid portion of the right lober of the liver. In addition, there is no Colloid uptake in the small lesion in the lateral portions of the left lobe of the liver.

Impressions

A tagged red blood cell SPECT scan would be helpful to determine if these cold lesions are tumors or cavernous hemangiomas.

Comments

Click here to view the file for the tagged red blood cell scan.

Click here to view the cine of the 3D volume rendered Sulfur Colloid SPECT scan. This is a quicktime movie file.