Excreted Tc-99m-Pertechnetate in a Renal Pelvis as a Potential False Positive in a Meckel's Scan

A 14-year-old girl presented with right lower quadrant pain. A Tc-99m-pertechnetate scan with SPECT/CT was performed to exclude a Meckel's diverticulum. The images demonstrated focal tracer uptake in the right midabdomen, which appeared early and decreased over time. However, SPECT/CT revealed that this uptake corresponded to the right renal pelvis, which was located more inferior than expected. This case emphasizes the importance of recognizing anatomic variants that may cause focal tracer uptake, as well as leveraging an understanding of tracer kinetics to inform a diagnosis.