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(A) Anterior view from a 99mTc-MDP whole-body bone scan. In several areas more radionuclide has accumulated than in the remainder of the skeleton,
and these areas appear darker: left acetabulum, two upper lumbar vertebrae, the lateral aspect of the right third rib, and the right side of the skull
(arrowheads). Numerous foci of increased radioactivity, sprinkled somewhat haphazardly about the body but mostly involving the axial skeleton, are very
typical of the appearance of metastatic cancer. (B) Frog-leg lateral view of the left hip. The ilium just above the acetabulum is too lucent, and a thin,
irregular white line (arrowheads) demarcates the edge of the lucency. (C) Axial CT scan, obtained with the patient prone. The trabecular bone of the left
ilium has been replaced by material of approximately the same density as the muscle. Using a percutaneous approach through the left buttock, a needle
Source: Chapter 6. Musculoskeletal Imaging, Basic Radiology, 2e
has been placed into the center of the lesion. Aspiration of cells yielded a diagnosis of metastatic breast carcinoma. The needle appears to be wholly
Citation:
Chen MM,
PopeitTL,
DJ. Basic
Radiology,
2e; 2011
Available
at: http://mhmedical.com/
Accessed:
May 12, 2017
embedded within
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