File:Bone metastasis from squamous cell carcinoma (Radiopaedia 30133-30731 B 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 30133
  • Image ID: 7864279
  • Study description: Nuclear medicine scan
  • Study findings: Focal intense tracer uptake in the right scapula involving the acromial/coracoid process, spine, and upper third of the medial border of scapula) is consistent with known scapula lesion on diagnostic imaging. Linear tracer uptake involving the posterior right 8th, 9th and 10th ribs may represent previous rib fractures. Tracer uptake best seen anteriorly in the L2 vertebral body probably represent anterior osteophytes. There is no abnormal tracer uptake seen in the right ilium as noted on CT to suggest bony metastasis. No other significant abnormalities are seen. Normal renal and soft tissue outlines. OVERALL IMPRESSION Scintigraphic appearances are consistent with osteoblastic bony metastasis involving the right scapula . Linear uptake in the right posterior 8-10th ribs is likely due to previous fracture.
  • Modality: Nuclear medicine
  • System: Oncology
  • Findings: Fracture lines are seen through the blade and spine of the right scapula.  A destructive lytic lesion of the spine of scapula is best seen on the lateral projection but the length of the spine is also absent on the AP film. Appearance is suspicious for a pathological fracture. Surgical clips are noted in the right base of neck/thoracic apex. Old right-sided rib fractures.
Date Published: 2nd Aug 2014
Source https://radiopaedia.org/cases/bone-metastasis-from-squamous-cell-carcinoma
Author Jack Ren
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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