PMC4337009_01
Scintigraphic examination of patient
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F1
The case we present here is about a 49-year-old male patient who had a history of HBV related chronic liver failure and HCC for 2 years developed multiple osteoblastic bone metastasis [Figure 1] and bone pain was refractory to analgesic treatments (tramadol, fentanyl).
Chest X-ray graph of patient before procedure (a), and after procedure (b), thorax computed tomography examination after Sm-153 treatment (c)
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F2
He was mildly decompensated in terms of liver disease, and there was no significant finding except minimal pleural effusion and a chronic infiltrative area at chest X-ray graphic examination taken before the procedure [Figure 2a]. Patient had dyspnea and the cardiac shadow was more prominent at chest X-ray taken 2 days after the SM-153 treatment [Figure 2b]. Bilateral pleural effusion, massive pericardial effusion and subtotal collapse of right lung were noticed at thorax CT [Figure 2c].