Fig. 2

^99mTc-mebrofenin planar and SPECT/ CT scan (post second surgery): showing biliary leak from medial part of surgical cavity (segment VII/VIII) and relatively photopenic area in right lobe (arrow), enlarged left lobe of the liver, preserved function and no evidence of bilio-enteric drainage (a), and subsequent collection of radiotracer in bag (arrow; b). Transverse CT and SPECT/CT images show collection of radiotracer in the surgical cavity (c, d). Follow-up scan shows hepatomegaly with preserved hepatocyte function, minimal tracer collection in surgical cavity (arrow), and patent bilio-enteric drainage without any duodenogastric reflux (e, f)