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December 1984

The Widened Renal Fossa Sign on Liver-Spleen Scintigraphy and Adrenal Disease

Author Affiliations

From the Department of Medicine, Nuclear Medicine Service, William Beaumont Army Medical Center, El Paso, Tex (Drs Moreno, Brown, Turnbull, and Brown), and Nuclear Medicine Service, Fitzsimmons Army Medical Center, Aurora, Colo (Dr Jackson). Dr Jackson is now with Letterman Army Medical Center, Presidio, Calif.

Arch Intern Med. 1984;144(12):2355-2356. doi:10.1001/archinte.1984.00350220071016

• A widened renal fossa on the posterior view during liver-spleen scintigraphy using technetium Tc 99m sulfur colloid raises the possibility of renal or extrarenal disease. We encountered four patients with prominent renal fossae on liver-spleen scans. They were subsequently found to have lesions involving the right adrenal gland. Potential adrenal disease should be considered in patients whose liver-spleen scans show widened renal fossae.

(Arch Intern Med 1984;144:2355-2356)