Case Author(s): Thomas H. Vreeland , MD /J. Wallis , 07/17/94 . Rating: #D1, #Q3
Diagnosis: Normal Liver-Spleen Scintigraphy
Brief history:
This patient is a 60 year old man with being
evaluated for possible splenomegaly.
Images:
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Full history/Diagnosis is available below
Diagnosis: Normal Liver-Spleen Scintigraphy
Full history:
This patient is a 60 year old man with moderate
thombocytopenia being evaluated for possible splenomegaly.
Findings:
Physiologic distribution of activity in liver, spleen,
and bone marrow.
Discussion:
Note the different intensities allow for one to
visualize the bone marrow. This examination is
seldom done in the 1990(s); other imaging modalities
offer better anatomic resolution.
Occasionally, a
liver-spleen scintigraphy is ordered to assess spleen
size, assess for splenic infarct, or to evaluate for
degree of colloid shift to bone marrow and spleen as
evidence of liver dysfunction. It may also be used to
assess for accessory splenic tissue, although a
heat-damaged red blood cell scan may be superior for this
purpose.
ACR Codes and Keywords:
References and General Discussion of Liver-Spleen Scintigraphy (Anatomic field:Gasterointestinal System, Category:Normal, Technique, Congenital Anomaly)
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Case number: ls001
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