Interesting ImagesDiagnosis of Traumatic Bronchobiliary Fistula With Late 99mTc-Mebrofenin SPECT/CTSánchez-Vera, Yazmín MD; Aguilera-Hernández, Estrella MD; Cardoza-Ochoa, David R. MD; González-Díaz, Jorge Iván MD Author Information From the Department of Nuclear Medicine, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, IMSS, Mexico City, Mexico. Received for publication April 5, 2022; revision accepted May 30, 2022. Conflicts of interest and sources of funding: none declared. Correspondence to: David R. Cardoza-Ochoa, MD, Nuclear Medicine Service, Instituto Mexicano del Seguro Social, Av. Cuauhtémoc S/N, Doctores, Cuauhtémoc, 06720 Ciudad de México, CDMX, Mexico. E-mail: [email protected]. Clinical Nuclear Medicine: December 2022 - Volume 47 - Issue 12 - p e752-e753 doi: 10.1097/RLU.0000000000004334 Buy Metrics Abstract Bronchobiliary fistula (BBF) represents a rare disorder; it consists of abnormal interconnection between the biliary tract and bronchial trees. A 22-year-old woman with persistent chest pain, jaundice, and biliptysis was referred for hepatobiliary scintigraphy under clinical suspicion of a BBF. Patient medical history was consistent with biliary tree reconstruction secondary to an iatrogenic injury during cholecystectomy 4 years ago. Previous complementary studies (CT and MR cholangiopancreatography) were equivocal for diagnosis. Planar dynamic images of hepatobiliary scintigraphy in the first hour were inconclusive. A 24-hour SPECT/CT was performed and confirmed the BBF in a minimally invasive way. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.