Case Report

Splenic Absorption of Radiopharmaceutical in Systemic Bone Scans Performed after Liver Transplantation

Sang-Hyeong Kil*,  Kyung-Nam Jo,  Yung-Hyun Lim  

Deparment of Nuclear Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea


A technetium-labeled phosphate bone scan was found to detect bone fractures and bone metastasis in the early stages compared to general radiographs. Therefore, bone scans are among the most frequently performed nuclear medical imaging examinations. However, non-osseous radiopharmaceutical uptake on bone scans is unusual. Herein, we report a case of diffuse splenic absorption of Tc-99m dicarboxypropane diphosphonate in patients who underwent liver transplantation.

Figures & Tables

Fig. 1. Bone scan images show increased abnormal osseous uptake (A) on T4, T12, and L2 levels (compression fractures) and (B) left proximal tibia (suggestive traumatic bone lesion). Furthermore, they show increased (C) diffuse splenic uptake of radiopharmaceutical resembling nuclear medicine spleen scan.