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We present a 72-year-old female with an osseous metastasis to the spine, which had an atypical appearance on both nuclear medicine and radiological modalities and was misdiagnosed as an abscess. We discuss the pitfalls of bone scintigraphy and the causes of photopenic metastatic lesions.

Metastatic Osseous Disease Masquerading as Infection, Diagnosed on Bone Scintigraphy and SPECT/CT