Discordant uptake of technetium-99m DISIDA and technetium-99m sulfur colloid in an amebic abscess.
Hepatobiliary imaging in a patient with an amebic abscess showed an early cold defect that later showed rim enhancement. A Tc-99m SC scan did not show prominent flow (making hepatoma unlikely) and showed the previously noted defect to appear larger and without rim enhancement. The differential damage to Kupffer cells and hepatocytes or edema may account for these findings. Amebic abscess should be included in the differential diagnosis of lesions that give increased Tc-99m IDA but cold Tc-99m SC images.
Allard
J C
JC
Boston City Hospital, Department of Radiology, Massachusetts.
Lee
V W
VW
Foster
J
J
D000328:Adult; D006801:Humans; D007098:Imino Acids; D008101:Liver Abscess, Amebic / Q000000981:diagnostic imaging*; D008297:Male; D009942:Organometallic Compounds; D011877:Radionuclide Imaging; D019785:Technetium Tc 99m Disofenin; D013671:Technetium Tc 99m Sulfur Colloid
D007098:Imino Acids; D009942:Organometallic Compounds; D013671:Technetium Tc 99m Sulfur Colloid; D019785:Technetium Tc 99m Disofenin