XXX Nuclear Facility
6021 University Blvd., Suite 500
Ellicott City, MD 21043
Phone (123)123-1234
Fax (123)123-1234
Patient Name: Doe, John
ID Number: 123456
Date of birth: 4-2-29
Sex: Male
Referring physician: Dr. Jones
Date of the exam: 4-1-12
Radiopharmaceutical: 6.3 mCi 99mTc Choletec IV
Hepatobiliary Scan
INDICATIONS/HISTORY: 79-year-old male with abdominal pain
PREVIOUS STUDY: Sonogram of the abdomen dated 3/31/09 demonstrating irregular thickening of the
gallbladder was but no definite shadowing gallstone.
FINDINGS: Immediately following the IV administration of 6.3 mCi Tc99m Choletec, hepatobiliary scan was
performed through 4 hours. Images were obtained in the anterior projection. The study demonstrates prompt uptake
of radiopharmaceutical by the liver but prolonged intrahepatic transit time. The biliary tree and gallbladder were first
visualized at 30 minutes and there was progressive filling of the gallbladder through 4 hours but delayed
visualization of bowel which was not seen until 4 hours. The intrahepatic portion of the biliary tree was not
optimally seen. There was no obvious biliary dilatation.
IMPRESSION:
1.
2.
3.
4.
Prolonged intrahepatic transit time suggestive of hepatocellular disease. Correlation with the patient’s hepatic
function tests is recommended.
Patent cystic duct. No scintigraphic evidence for acute cholecystitis.
Delayed visualization of bowel which first visualized at 4 hours which could be due to preferential filling of
the gallbladder in the prolonged intrahepatic transit time.
Poor visualization of the pancreatic portion of the common bile duct of uncertain significance. A CT scan of
the abdomen might be helpful in further evaluation of the pancreas.
Mary Beth Farrell, MD (electronically signed)
Date of interpretation: 4-2-12
Date of final report: 4-3-12
Hepatobiliary Scan (SAMPLE)
1
NOTE: This is a SAMPLE only. Protocols submitted with the application MUST be customized to reflect current practices of the facility.