Sulfur Colloid Exam

General

• Sulfur Colloid imaging is basically to look at the spleen

• Normally should have homogenous uptake throughout the spleen similar in darkness to the liver

Interpretation

• The vast majority of questions I have seen have been identifying splenosis

  • Typically question will include statement of hx of prior trauma/remote hx of trauma to tell you they had an injury to spleen and it was taken out and the residual uptake is splenosis

  • May also show signs of sickle cell on bone or other clues to show why spleen is absent basically

• s

Normal uptake in liver. Focal area of uptake in left upper quadrant consistent with accessory splenule.