A 92-year-old woman reported nonspecific epigastric abdominal pain and had mild elevation of the serum SGOT (177) and significantly elevated levels of alkaline phosphatase. Abdominal ultrasound showed a distended, thicken gallbladder containing stones and surrounded by pericystic fluid. Hepatobiliary imaging demonstrated an unusual configuration of the liver, almost a mirror image of its expected appearance on the anterior view. Intense activity was noted in the intrahepatic biliary radicals, but these drained promptly. Gastrointestinal activity appeared by 55 minutes after injection. No definite gallbladder activity could be identified. CT showed significant scoliosis with marked distortion and displacement of the liver and other abdominal viscera.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging