Clinical
History: 73 year old female with low back pain.
Technique:
3phase and whole body bone scan performed following injection of 23
mCi MDP.
Findings:
The dynamic blood flow study and immediate post injection scan of the
lower back demonstrate no evidence of a focally increased blood flow
of increased vascularity. Bone imagings from the head to toes
demonstrate a slightly increased tracer uptake involving the lower
lumbar spine at the level of L4 and L5, probably due to degenerative
bone and joint disease. Slightly increased tracer uptake involving
both shoulder joints, probably non-specific arthritis. No abnormal
tracer uptake is noted in the sacrum and coccyx.
Slightly
increased tracer uptake involving patient's boots. The patient was on
lasix, and urinated through her pantyhose. She went home and changed
her hose prior to imaging. She did not change her boots, therefore
only the boots show contamination and not her hosiery.
Thanks to Y.H. Park, MD, Meredith Smela, Debbie Reed
