RT Journal Article SR Electronic T1 Precise Localization of a Bile Leak with Hepatobiliary Scintigraphy JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 44 OP 45 DO 10.2967/jnmt.115.154997 VO 44 IS 1 A1 Sana Naeem A1 Hanna Li A1 Zhiyun Yang YR 2016 UL http://tech.snmjournals.org/content/44/1/44.abstract AB Hepatobiliary scintigraphy (HBS) is a widely used modality to diagnose biliary injury. In patients with a history of trauma or surgery, the common presentations of bile leaks on HBS are a progressive collection of radiotracer outside the biliary system. However, the precise localization of a bile leak is usually not conveyed by noninvasive techniques including CT or ultrasound or even HBS. This case study of a patient with liver trauma demonstrates a direct bile leak sign leading to recognition of an exact bile leakage site from the left intrahepatic duct. This diagnosis helped clinicians perform less-invasive management.