case_images: PMC3180723_01
case_images: (a) Tc99m-MDP bone scintigraphy whole body images show intense tracer uptake in the skull bone. No abnormally increased tracer uptake is noted anywhere. (b) F18-Fluoride PET/CT MIP image shows increased tracer uptake in the skull bones (red arrow), right superior pubic ramus (brown thick arrow) and left ilium near sacroiliac (SI) joint (blue thin arrow). (c) F18-FDG PET/CT MIP image shows physiological tracer uptake in the brain and myocardium. Skull bones show no abnormal FDG uptake. Intense FDG uptake is seen in the urinary bladder wall at multiple sites
case_images: IJNM-26-42-g001.jpg
case_images: PMC3180723_01_IJNM-26-42-g001.jpg
case_images: F1
case_images: Whole body bone scintigraphy [Figure 1a] using Tc99m-MDP showed intense tracer uptake in the skull bones. F18-Fluoride bone scan [Figure 1b] showed additional foci of increased tracer uptake in the right superior pubic ramus, left ilium near sacroiliac joint, along with intense uptake in the skull bones. F18-FDG PET/CT [Figure 1c] showed intense FDG uptake in the irregularly thickened urinary bladder wall at multiple sites (SUVmax= 20.1) and bilateral iliac nodes (SUVmax= 13.5).