Multiple congenital abnormalities identifiable on 99Tcm HIDA scan.

We present a case in which three congenital abnormalities, in separate organ systems, were identifiable on a 99Tcm HIDA scan. The patient probably had Ivemark syndrome with dextrocardia (confirmed by chest radiograph), horseshoe kidney (confirmed by 99Tcm DTPA scintigraphy), and biliary atresia (confirmed on the HIDA scan). He also probably had asplenia, as suggested by the HIDA scan, although this was not confirmed.