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  • Title: Nuclear medicine evaluation of focal fatty infiltration of the liver.
    Author: Baker MK, Schauwecker DS, Wenker JC, Kopecky KK.
    Journal: Clin Nucl Med; 1986 Jul; 11(7):503-6. PubMed ID: 3524947.
    Abstract:
    Focal fatty infiltration of the liver (FFIL) occasionally may be mistaken as metastatic disease, primary liver malignancy, or other space-occupying lesions on CT or ultrasound studies, especially if there is significant mass effect. In these confusing cases, Xe-133 liver imaging has been advocated for confirmation of FFIL, since such studies have been reported to be sensitive and specific. The authors present results of four Xe-133 and four Tc-99m sulfur colloid scans in six patients with FFIL. Xe-133 imaging was found useful for diagnostic confirmation in only one patient and was misleading in the other three. Routine liver-spleen imaging was a more reliable method of confirmation, since no focal defects were found in any of the patients.
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