Normal HIDA scan

Case contributed by Dr Matthew Lukies

Presentation

Persistent right upper quadrant pain. Normal ultrasound without cholelithiasis, but probe Murphy's sign positive.

Patient Data

Age: 25 years
Gender: Female
Nuclear medicine
  • Uniform radiotracer activity throughout the liver
  • Prompt excretion into the bile ducts
  • Radioactivity tracer activity seen in the gallbladder after 10 min
  • Ongoing accumulation of radiotracer over the 30 min study

Normal cholescintigraphy (HIDA) scan

Case Discussion

Normal HIDA scan performed with 200 mBq of Tc-99m DISIDA given IV and 30 minutes of imaging.

Acute cholecystitis and/or cystic duct obstruction can effectively be excluded since there is radiotracer activity in the gallbladder after 10 min and ongoing accumulation over the 30 min study.

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