Budd-Chiari syndrome other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Other Imaging Findings

• Nuclear Imaging may be helpful in the diagnosis of Budd-Chiari syndrome (BCS. Findings on 99m Tc sulfur colloid scanning suggestive of Budd-Chiari syndrome (BCS) include:
• Sulfur colloid uptake technetium-99m (99mTc) is increased (ie, hot) in the caudate lobe when compared to the rest of the liver, in which uptake may be normal, reduced, absent, or patchy
• Colloid may shift to the spleen and bone marrow
• Wedge-shaped focal peripheral defects are occasionally seen on imaging.