PMC3325059_01
Plane radiographic images showing hyperostosis of the 3rd and 4th metacarpal and digits as well as ulna and distal humerus
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Radiographic assessment revealed hyperostosis involving the left 3rd and 4th metacarpal bones and corresponding digits as well as the left ulna and distal humerus, with no soft tissue ossification (Figure 1).
Angiographic (A) and blood pool (B) images using 99mTc-MDP, showed hyperemia involving mid-metacarpal region
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Early angiographic and blood pool images of bone scintigraphy with 20mCi (740MBq) 99mTc-MDP showed increased activity of mid-metacarpal region, corresponding to the sclerotom C-8 (Figure 2).
Static delayed views of 99mTc-MDP bone scintigraphy [whole body (A), and hand posterior spot view (B)], showing bone involvement in different stages of metabolic activity
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Delayed static views showed increased radiotracer uptake of the left 4th metacarpal bone and the corresponding digit as well as the left ulna and humerus, but no abnormal osteoblastic activity of the 3rd left metacarpal and digit (Figure 3).