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False-positive liver scans due to portal hypertension: correlation with percutaneous transhepatic portograms in 33 patients

Journal Article · · Radiology; (United States)
Tc-99m-phytate scanning of the liver and percutaneous transhepatic catheterization of the portal vein were performed in 33 patients-26 with cirrhosis, 3 with chronic active hepatitis, 2 with idiopathic portal hypertension, and 2 with unresolved acute hepatitis. A discrete defect in the porta hepatis area was seen in 6 of 28 patients who had portal vein pressure above 200 mm H/sub 2/0. In 5 of the 6 patients with a false-positive scan, the umbilical portion of the left portal vein branch was dilated (larger than 25 x 20 mm) on the portogram, with or without a patent paraumbilical vein. The anatomical basis of this phenomenon is discussed, and it is suggested that this area be given special attention.
OSTI ID:
5639554
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 147:1; ISSN RADLA
Country of Publication:
United States
Language:
English