Pitfalls of cholescintigraphy. A case report.
A Tc-99m PIPIDA scan was performed in a young auto accident victim who had a transient rise in serum bilirubin level. Initially, the stasis of activity in the right ureter was mistaken for activity in the common bile duct. Misinterpretation of biliary imaging studies can be prevented with awareness of pitfalls and readiness to obtain delayed images and additional images in different projections.
D000328:Adult; D001659:Biliary Tract / Q000000981:diagnostic imaging*; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging* / Q000209:etiology; D003135:Common Bile Duct / Q000000981:diagnostic imaging; D003137:Common Bile Duct Diseases / Q000209:etiology; D003951:Diagnostic Errors; D004487:Edema / Q000150:complications; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000000981:diagnostic imaging*; D008297:Male; D015609:Organotechnetium Compounds; D010182:Pancreatic Diseases / Q000150:complications; D004369:Pentetic Acid; D011877:Radionuclide Imaging; D013667:Technetium; D016284:Technetium Tc 99m Pentetate; D014513:Ureter / Q000000981:diagnostic imaging
D007098:Imino Acids; D015609:Organotechnetium Compounds; D013667:Technetium; D004369:Pentetic Acid; C003693:technetium Tc 99m PIPIDA; D016284:Technetium Tc 99m Pentetate