SVNM Case of the Quarter

Presented to you by the ACVR Society of Veterinary Nuclear Medicine

Case of the Quarter


Members of the ACVR Society of Veterinary Nuclear Medicine (SVNM) have contributed excellent cases from their collections and practices. Take advantage of the opportunity to learn from experts in the field. Each new case is available only to SVNM Members for 2 months, after which it is accessible to the public for 3 months, and then it's archived in the SVNM section. You must be a member of the SVNM to view previous Cases of the Quarter. See Join an ACVR Society to become a member of the SVNM. You will receive Veterinary Radiology & Ultrasound and also get access to new SVNM cases two months earlier.


This case submitted by Federica Morandi, DVM, MS, University of Tennessee

  • Signalment: ‘Daisy'; a 5 year old female spayed Yorkshire Terrier
  • History:  pre- and post-prandial bile acid elevation noted at the referring veterinarian during blood work performed before a routine dental; no clinical signs. 


Files available for review: 

  • movies which depict the initial 37 seconds of data of a dynamic acquisition (‘MovieBW’ and ‘MovieHI’; this file is available both in black and white and hot iron color schemes as QuickTime movies. Be patient as they are large and will take a little time to load. Note: You will need QuickTime installed on your computer to view the movies. QuickTime is free and cross-platform compatible for both Macs and PCs. 
  • If you have trouble viewing the QuickTime movies, view the Flash files: MovieBW and MovieHI
  • a summated view of the entire dynamic acquisition (3 minutes of data, ‘summBW’)
  • a static view acquired 5 minutes after radiopharmaceutical injection (‘StaticBW’)
  • a time activity curve (TAC_SF)


Look at the images and answer the following questions:

  1. What scintigraphy study was performed? 

  2. What is the radiopharmaceutical used and its mechanism of localization? 

  3. What is the acquisition protocol? 

  4. What are the scintigraphic findings? 

  5. What is the scintigraphic diagnosis (or differential list)?


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