Case Author(s): Anton J. Johnson, M.D., Ph.D. and Jerold W. Wallis, M.D. , 5/1/97 . Rating: #D2, #Q4

Diagnosis: Liver metastases

Brief history:

Elderly female with back pain.


Anterior and posterior whole body images.

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Full history/Diagnosis is available below

Diagnosis: Liver metastases

Full history:

Elderly female with history of colon carcinoma, status post colectomy in the past.


Tc-99m MDP


Soft tissue uptake is seen throughout an enlarged liver. There is no evidence of metastatic disease to bone.


Diffuse abnormal liver uptake can be due to a radiopharmaceutical problem (with colloid formation), severe liver ischemia with patchy infarction (similar to pyrophosphate uptake in the heart during myocardial infarct imaging), and associated with infarction/microcalcification due to extensive liver metastatic disease.


Computed tomography examination demonstrated extensive liver metastases.

View followup image(ct). Image from a contrast enhanced CT of abdomen.

ACR Codes and Keywords:

References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Neoplasm, Neoplastic-like condition)

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Case number: bs074

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