case_images: PMC3039827_01
case_images: Delayed Whole Body images, anterior (L) and posterior showing focal tracer uptake in right L3/L4 facet joint region (continuous black arrow).
case_images: 2045-709X-19-2-1.jpg
case_images: PMC3039827_01_2045-709X-19-2-1.jpg
case_images: F1
case_images: Heterogeneous tracer uptake was noted at multiple spinal levels with marked increased focal tracer uptake in the right lateral aspect of L3 (Figure 1).
case_images: SPECT/CT images (axial, sagittal, coronal) localizing intense, focal tracer uptake to the right L3/L4 facet joint (continuous arrow). Note is made of mild tracer uptake in the right L5/S1 facet joint (dashed arrow).
case_images: 2045-709X-19-2-2.jpg
case_images: PMC3039827_01_2045-709X-19-2-2.jpg
case_images: F2
case_images: SPECT/CT images confirmed intense tracer uptake in the right L3/L4 facet joint (Figure 2).
case_images: CT image from SPECT/CT demonstrating mild degenerative changes at right L3/L4 facet joint (white arrow).
case_images: 2045-709X-19-2-3.jpg
case_images: PMC3039827_01_2045-709X-19-2-3.jpg
case_images: F3
case_images: At the level of the L3/L4 right facet joint, there are only mild indicators of degenerative joint disease: focal joint space narrowing and early sclerosis (Figure 3).
case_images: CT image from SPECT/CT demonstrating marked degenerative arthrosis at right L5/S1 facet (white arrow).
case_images: 2045-709X-19-2-4.jpg
case_images: PMC3039827_01_2045-709X-19-2-4.jpg
case_images: F4
case_images: In addition to marked degeneration of the right L5/S1 facet (Figure 4), there is a left-sided discontinuity of the pars interarticularis and an incidental spina bifida occulta at L5 (Figure 5).
case_images: CT image from SPECT/CT demonstrating discontinuity of the left pars interarticularis (continuous arrow) and an incidental spina bifida occulta (dashed arrow).
case_images: 2045-709X-19-2-5.jpg
case_images: PMC3039827_01_2045-709X-19-2-5.jpg
case_images: F5
case_images: In addition to marked degeneration of the right L5/S1 facet (Figure 4), there is a left-sided discontinuity of the pars interarticularis and an incidental spina bifida occulta at L5 (Figure 5).