case_images: PMC7067126_01
case_images: Anterior static scintigraphic image of 99mTc-radiolabeled autologous erythrocytes (a), along with a color-labeled three-dimensional reconstruction of the patient's recent computed tomography angiography of the abdomen and pelvis. Serpiginous-shaped activity on scintigraphy (b)corresponds to the enlarged gastroepiploic (arrows) and splenic (arrowheads) arteries supplying the omental carcinomatosis (asterisks). A single-slice coronal 18F-fluorodeoxyglucose-positron emission tomography/computed tomography fusion image (c) and the maximal intensity projection from the same study (d) highlight the fluorodeoxyglucose avid metastatic burden in the left lower quadrant (asterisks)
case_images: WJNM-19-59-g001.jpg
case_images: PMC7067126_01_WJNM-19-59-g001.jpg
case_images: F1
case_images: RBC scintigraphy demonstrated serpiginous areas of increased activity which did not move or change in intensity [Figure 1a]. Comparison with three-dimensional rendering of CTA acquired earlier showed enlarged gastroepiploic and splenic arteries supplying omental carcinomatosis [Figure 1b] corresponding to abnormal activity seen on scintigraphy. Recent 18F-fluorodeoxyglucose-positron emission tomography/CT demonstrated a large metastatic burden, particularly to the omentum [Figure 1c and d].