{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:03Z","timestamp":1756368603768,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>An older male with multiple medical comorbidities presented to the emergency room after 3 days of worsening right upper quadrant pain. The patient had an elevated white blood cell count and mildly elevated liver functions. Initial ultrasound was equivocal and further imaging with CT scan was obtained. The CT scan was read as suggestive of cholecystitis, however a hepatobiliary scintigraphy (HIDA) scan was ordered for confirmation, as the patient was a poor operative candidate. The HIDA demonstrated no bile duct or small bowel activity on initial images or delays, however a classic \u2018hot rim\u2019 sign was present, confirming acute cholecystitis. The patient ultimately underwent percutaneous cholecystostomy with drainage for treatment where acute cholecystitis was confirmed. Upon retrospective review, the CT demonstrated hyperaemia surrounding the gallbladder fossa, which is the CT scan equivalent of a scintigraphic \u2018hot rim\u2019 sign. This is an uncommon example of a radiologic sign correlation between multiple imaging modalities.<\/jats:p>","DOI":"10.1136\/bcr.09.2011.4778","type":"journal-article","created":{"date-parts":[[2012,1,19]],"date-time":"2012-01-19T08:20:27Z","timestamp":1326961227000},"page":"bcr0920114778","source":"Crossref","is-referenced-by-count":4,"title":["The hot rim sign on hepatobiliary scintigraphy (HIDA) with CT correlation"],"prefix":"10.1136","volume":"2012","author":[{"given":"Ian Blake","family":"Amber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Leighton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su-Yu","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary Stuart","family":"Greene","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,1,19]]},"reference":[{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(03)00032-1"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.rlu.0000156654.19783.fd"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.3","first-page":"1915","article-title":"Gallbladder perforation: correlation of cholescintigraphic and sonographic findings with the Niemeier classification.","volume":"31","author":"Swayne","year":"1990","journal-title":"J Nucl Med"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-2171(00)90013-1"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.5","doi-asserted-by":"crossref","first-page":"343","DOI":"10.2214\/ajr.164.2.7839966","article-title":"CT finding of transient focal increased attenuation of the liver adjacent to the gallbladder in acute cholecystitis.","volume":"164","author":"Yamashita","year":"1995","journal-title":"AJR Am J Roentgenol"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.6","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-198411000-00003"},{"key":"2025082800412434000_2012.jan18_1.bcr0920114778.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11938-005-0001-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.09.2011.4778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:41:33Z","timestamp":1756366893000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.09.2011.4778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,19]]},"references-count":7,"alternative-id":["10.1136\/bcr.09.2011.4778"],"URL":"https:\/\/doi.org\/10.1136\/bcr.09.2011.4778","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,1,19]]}}}