PMC5045094_01
(A) and (B): anteroposterior and lateral views of the right femur showing dripping cortical hyperostosis. (C) and (D): anteroposterior and lateral views of the right tibia evidencing tibial cortical hyperostosis. (E): lateral view of the right foot showing heterogeneous osseous condensation of the heel.
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He underwent radiographs that showed a cortical hyperostosis involving almost the entire right femur, the right tibia and the right foot (Figure 1A-E).
Anterior and posterior whole-body 99mTc bone scan showing an increased uptake of nuclides on the lateral cortical of the right femur, the lateral cortical of the right tibia, the right foot and the medial cortical of the left tibia.
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The pubis bones were also both involved (Figure 2).
Sagittal plane of the right lower limb (A) and coronal planes of both lower limbs (B and C). The PET images (on the left) evidence increased uptake of nuclides, the CT images in bone window show the cortical thickening of the bones (center). Fusion of both techniques is shown on the right. Maximum Intensity Projection of the whole body PET data (D and E).
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Results are depicted in Figure 3A-E.