Bone scintigraphy is a valuable imaging modality for a diverse range of skeletal abnormalities. Incidental findings and congenital skeletal anomalies are not uncommonly encountered. Therefore, having a substantial knowledge of these findings, even rare ones, is essential for interpreting physicians. Here, we present a case of previously diagnosed malignancy referred for a bone scintigraphy for skeletal metastatic survey, in which Sprengel's deformity as congenital scapular asymmetry and cervicothoracic scoliosis was noted.