Biomedical subjects
Publications and source records attributed to C R Goldfarb.
The authors report a scintigraph of a 76-year-old man interpreted as being of a partially herniated spleen constricted by the diaphragm. The constriction proved illusory.
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Early 67Ga-citrate scintigraphy is commonly performed in the search for occult abdominal abscess. In addition to providing a more immediate answer in a clinically pressing situation, a six hour view can serve to clarify later images complicated by normal colonic activity. Although bowel visualization is thought to be unusual on the early study, we have frequently observed intense cecal activity that may have been misinterpreted as right abdominal pathology.
Radionuclide brain scans and cerebral blood flow studies have become highly sensitive but they remain quite nonspecific diagnostic modalities. Previous reports have discussed similarities between Paget's disease of bone and subdural hematoma on radionuclide studies. We encountered a case in which Paget's disease produced all the described manifestations of subdural hematoma. The differential features of the two conditions and their pathophysiological bases are discussed.
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