A 68-year-old man with hereditary hypercoagulability was referred to nuclear medicine for elevated aminotransferases after a recent living-donor liver transplant. A hepatic infarction was suspected. A 99mTc-mebrofenin SPECT/CT was performed and showed decreased radiotracer uptake in a wedge-shaped distribution in the anterior liver suggestive of a hepatic infarction. Subsequently, an enhanced MRI corroborated the diagnosis. Oral anticoagulation therapy was then initiated, and aminotransferases soon normalized. Received for publication March 18, 2020; revision accepted August 24, 2020. Conflicts of interest and sources of funding: none declared. Correspondence to: Austin R. Pantel, MD, MSTR, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce St, Philadelphia, PA 19104. E-mail: Austin.Pantel@pennmedicine.upenn.edu. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
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