Open AccessDiagnostic dilemma of degenerative joint disease, chronic avascular necrosis or metastasis in planar Tc-99m-methylene diphosphonate planar skeletal scintigraphy excluded by single positron emission computed tomography/computed tomography
Author(s) -
Tarun Jain,
Rohit Kumar Phulsunga,
Rajender Kumar Basher,
Narendra Kumar,
Anish Bhattacharya,
Bhagwant Rai Mittal
Publication year - 2015
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/0972-3919.158553
Subject(s) - medicine , avascular necrosis , positron emission tomography , nuclear medicine , bone scintigraphy , radiology , femoral head , tomography , single photon emission computed tomography , positron emission , anatomy
We present a 71-year-old male patient subjected to skeletal scintigraphy for metastasis work up of prostate cancer. Whole body planar images revealed a solitary focal tracer uptake in left femoral head mimicking as solitary metastatic focus. Single positron emission computed tomography/computed tomography images localized this increased tracer uptake to the subchondral cysts with minimal sclerosis in left femur head with no decrease in size of femur head and was reported as (degenerative joint disease).