E. Evensapir et al., REMNANTS OF NORMAL TISSUE IN POLYCYSTIC DISEASE OF THE LIVER - A CAUSE FOR DIFFICULTY IN THE INTERPRETATION OF IN-111 WHITE BLOOD-CELL STUDY, Clinical nuclear medicine, 18(11), 1993, pp. 967-969
On In-111 WBC images, diffuse homogeneous uptake of the radiopharmaceu
tical should be present throughout the liver. The authors present a ca
se of a febrile patient with polycystic liver disease in whom the norm
al diffuse uptake was not seen. Instead, the images demonstrated focal
areas of uptake, which suggested infection. Tc-99m SC liver spleen sc
intigraphy demonstrated the In-111 WBC foci to correspond to areas of
residual normal parenchyma. The patient underwent laparotomy and liver
transplantation and no abscesses were found. Pathologic examination o
f the liver revealed multiple uninfected cysts and residual normal par
enchyma in the caudate lobe, corresponding to the findings on scintigr
aphy.