Scintigraphic diagnosis of a liver hemangioma may be difficult when it
s size approaches the spatial resolution of a gamma camera, and it may
not be visualized on a Tc-99m tin-colloid liver SPECT study. The cont
ribution of Tc-99m labeled RBC scintigraphy is shown in a patient with
a liver hemangioma discovered during laparoscopic cholecystectomy for
chronic cholecystitis. Despite negative CT, US, and Tc-99m tin-colloi
d SPECT of the liver, Tc-99m labeled RBC SPECT disclosed a focus of in
creased activity consistent with the hemangioma.