Case Author(s): Randal Anderson, MD and Keith Fischer, MD , 2/9/2004 . Rating: #D2, #Q4
Diagnosis: Intra-arterial injection
Brief history:
82 year-old being evaluated for hip pain, with non-specific hip findings on bone scintigraphy and leukocyte scintigraphy, but with another finding in the right hand on bone scintigraphy.
Images:
Delayed bone scintigraphy images of both hands
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Full history/Diagnosis is available below
Diagnosis: Intra-arterial injection
Discussion:
Intra-arterial injection results in more uptake in those bones distal to the site of injection because of the avidity and rapid uptake of the Tc-99m MDP by the bones.
Followup:
There are no medical consequences to an intra-arterial injection unless adequate aterial stasis is not acheived. Diagnostic quality of the study is not compromised.
ACR Codes and Keywords:
References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Normal, Technique, Congenital Anomaly)
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Case number: bs143
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