PMC4734287_01
Whole-body single-photon emission computed tomography scan. Intense methylene diphosphonate uptake was revealed in the right inguinal region on the Ant view, but not on the Post view, which was suspected to be a metastatic lesion (arrow). Ant, anterior; Post, posterior.
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An intense MDP uptake was observed in the right inguinal region and there appeared to be a metastatic lesion on the whole-body anterior view, but not on the posterior view (Fig. 1).
(A) Transaxial, coronal, sagittal SPECT tomography images indicate increased 99mTc-MDP uptake in the right inguinal region, which appears separate from the main bladder activity (arrow). (B) CT images of the pelvis show an inferior tongue-like extension of the bladder into the right inguinal region. The neck of the hernial sac was relatively wide, so the hernia contained a homogeneous low-density cyst due to trapped urine. (C) Fused SPECT/CT axial images demonstrate the circular accumulation of 99mTc-MDP in the medial right groin and well-defined walls that connect the accumulation to the bladder. SPECT, single-photon emission computed tomography; 99mTc-MDP, 99mtechnetium-methylene diphosphonate; CT, computed tomography.
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Fused SPECT/CT axial images showed the circular accumulation of 99mTc-MDP in the medial right groin and the well-defined walls that connect the accumulation to the bladder (Fig. 2).