Right upper quadrant pain with normal hepatobiliary ultrasound: Can hepatobiliary scintigraphy define the cause?

Right upper quadrant pain and raised alkaline phosphatase is not always a hepatobiliary problem

Right upper quadrant pain is a common presenting complaint to the general and hepatobiliary surgical team. Differential diagnoses include gallstones, cholecystitis, liver and pancreatic pathology. A 64-year-old man presented to our general surgical unit with right upper quadrant pain and deranged liver function tests. He underwent ultrasonography several times as well as magnetic resonance chol...

Hepatobiliary scintigraphy in 2014.

Cholescintigraphy with (99m)Tc-hepatobiliary radiopharmaceuticals has been an important, clinically useful diagnostic imaging study for almost 4 decades. It continues to be in much clinical demand; however, the indications, methodology, and interpretative criteria have evolved over the years. This review will emphasize state-of-the-art methodology and diagnostic criteria for various clinical in...

Hepatobiliary Scintigraphy in Patients with Bile Leaks

Hepatobilillry scintigraphy has been recognized as u useful tool in detecting the presence and sites of bile leaks. The clinical settings in which bile leaks are likely to occur, as weU as some of the scintigraphic patterns seen in patients with bile leaks, are reviewed here. lips for technologists are offered on interventions that might enhance the quality of information available to the nucle...

Ultrasound of the Hepatobiliary System

Delayed Renal Visualization During Hepatobiliary Scintigraphy

Visualization of the kidneys during hepatobiliary scintigraphy using technetium-99m(Tc) labeled N -substituted iminodiacetic acid agents is often the consequence of severe hepatic dysfunction or biliary tract obstruction {}-3). We report a case of delayed renal visualization seen during hepatobiliary imaging with [Tc]diisopropyl-iminodiacetic acid (DISIDA) where no evidence for severe hepatic d...