Bone scintigraphy of lower extremities, delayed images
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View second image(bs). Bone scintigraphy of lower extremities, radionuclide angiography and immediate static images
View third image(xr). Plain X-ray of right lower leg
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There is increased flow and increased uptake on the immediate post-injection images in the right upper tibia. On the delayed images, there is focally increased activity in the right proximal tibial plateau, the proximal third of the right fibula, and multiple foci of increased activity in the right tibial diaphysis. These findings are consistent with stress fractures in different phases of healing. There is focally increased activity in the mid left fibula and proximal third of the left tibia, also consistent with stress fractures. Some of the increased uptake correlates with solid periosteal reaction seen along the distal fibular diaphysis and the proximal tibial diaphysis on comparison X-ray images.
References: Donohoe K. Selected topics in orthopedic nuclear medicine. Orthop clin N Am. 29, 85-101. 1998. Holder L. Bone scintigraphy in skeletal trauma. Rad clin N Am. 31, 739-781. 1993. Wilcox J, et al. Bone scanning in the evaluation of exercise-related stress injuries. Rad. 123, 699-703. 1977.
References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Effect of Trauma)
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