99mTc-MIBI scintigraphy for establishing the benign nature of an active lesion on a bone scan
Raheela Mahmood, M Ejaz Khan, Shahid Kamal, Shaheen Zareen.
Abstract
Occasionally, bone infections may present a diagnostic or therapeutic dilemma for the clinicians. We report a case of 17-year-old male who presented with a painful swelling in the upper left leg, which was seen to be due to a lytic lesion in the upper left tibia on x-ray. The bone scan also showed increased tracer uptake at this site. However, correlative 99mTc-MIBI scan showed no significant uptake here and hence contributed to the diagnosis by establishing a benign cause for the pathology. Subsequent MRI confirmed the lesion as focal osteomyelitis.
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