Clinical nuclear medicine
-
Clinical nuclear medicine · Mar 2016
Case Reports"Cold" Spondylodiscitis on 18F-FDG PET/CT in a Patient With Myelofibrosis.
A 74-year-old man was evaluated by bone scan for possible rib fractures, which revealed a diffuse skeletal uptake secondary to myelofibrosis and focal midthoracic uptake. Chest CT and F-FDG PET/CT demonstrated pathological vertebral fractures of the midthoracic spine, which appeared as a cold defect on PET comparing to intense marrow uptake related to myelofibrosis and a lung nodule with a low uptake, later biopsy-proven as non-small cell lung carcinoma (NSCLC). ⋯ Biopsies did not reveal malignant cells. Final diagnosis was spondylodiscitis and a stage I NSCLC.
-
Clinical nuclear medicine · Mar 2016
Case ReportsIsolated Calcaneal Metastasis: An Unusual Presentation of Lung Carcinoma as Heel Pain.
A 63-year-old woman initially presented with progressive left foot pain for 3 months, not responding to conservative management. MRI of the left foot showed a suspicious lesion in calcaneus. An open biopsy was consistent with metastatic lung adenocarcinoma. ⋯ CT scan of the chest revealed a soft tissue mass in the superior aspect of the right lower lobe. Staging FDG PET/CT showed hypermetabolic right lung mass and left calcaneus lesion. She received chemotherapy and local radiation to the left calcaneus metastatic lesion.