case_images: PMC3628266_01
case_images: Multiple static planar bone scintigraphic images showing increased tracer uptake in skull, multiple vertebrae (Mickey Mouse sign), pelvis on both sides, sacrum, and distal one-third of right femur
case_images: IJNM-27-50-g001.jpg
case_images: PMC3628266_01_IJNM-27-50-g001.jpg
case_images: F1
case_images: Whole-body bone scintigraphy was performed three hours after intravenous administration of technetium-99m methylene diphosphonate (MDP) and the images revealed multiple skeletal lesions involving skull, multiple vertebrae, sacrum, pelvis on both sides, and lower half of the right femur with characteristic features of Paget's disease like homogeneous pronounced uptake in the skull, "Mickey Mouse" pattern in multiple vertebrae in spine, increased radiotracer uptake typically abutting one joint and extending into the diaphysis, and so on [Figure 1].
case_images: Follow-up whole body planar bone scintigraphy does not show any significant change as compared to previous study
case_images: IJNM-27-50-g002.jpg
case_images: PMC3628266_01_IJNM-27-50-g002.jpg
case_images: F2
case_images: She was lost to follow-up and subsequently after two years, a repeat bone scan was done in August 2010, which revealed similar findings with no new lesion [Figure 2].