PMC2934595_01
Planar bone scintigraphy performed after I.V. injection of technetium labeled MDP showing very mild increase in the L 2 vertebra prompted a hybrid SPECT-CT imaging of the lumbar spine. Post Left nephrectomy status is also noticed
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Tomography (CT) imaging was performed. The planar imaging showed an area of mildly increased tracer uptake in the second lumbar vertebra [Figure 1].
Hybrid SPECT-CT images revealing cortical destruction of the L2 vertebra. The photopenic region in SPECT images corresponding to the site of destruction
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Subsequent SPECT / CT imaging revealed a lytic lesion in the L2 vertebra, with increased uptake in the rest of the vertebral body; the findings more likely to be with metastatic involvement [Figure 2].