Cold defect on indium leukocyte scanning of a hepatic abscess.
Abdominal and, specifically, hepatic abscesses have always been difficult to diagnose clinically. The In-111 leukocyte scan has proven to be a valuable modality assisting in the diagnosis of an abscess. The authors present the case of a 64-year-old man who presented with vague clinical symptoms and inconclusive laboratory data for a hepatic abscess. Both the ultrasound and CT scan were nondiagnostic; however, a distinct cold defect within the liver on an In-111 leukocyte scan resulted in a liver biopsy, confirming the presence of an abscess. The potential causes of cold defects on In-111 WBC scanning and the limitations of this modality are discussed.
Burris
G W
GW
College of Medicine, Medical University of South Carolina, Charleston, USA.
Gordon
B M
BM
D001707:Biopsy, Needle; D006801:Humans; D007205:Indium Radioisotopes; D007962:Leukocytes; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D007205:Indium Radioisotopes; D019275:Radiopharmaceuticals