False-positive liver scan caused by anomalous quadrate lobe and right portal branch

A case of early cirrhosis exhibiting a discrete scan defect along the inferomedial margin of the liver near the hilum is described. Peritoneoscopy and percutaneous transhepatic portography disclosed that the quadrate lobe had a tongue like protrusion increasing activity below the hilum on the scan and a dilated right portal branch which divided near the superior mesenteric vein entered the liver at the porta hepatis.