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 jnmt.115.154997 DO 10.2967/jnmt.115.154997 A1 Naeem, Sana A1 Li, Hanna A1 Yang, Zhiyun YR 2015 UL http://tech.snmjournals.org/content/early/2015/06/24/jnmt.115.154997.abstract AB Hepatobiliary scintigraphy (HBS) is 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 of the biliary system. However precise localization of a bile leak is usually not conveyed by non-invasive techniques including CT or Ultrasound (US) 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.