CASE 8 A 51-year-old woman with a diagnosis of breast carcinoma and cervical carcinoma who is undergoing chemotherapy and radiation therapy for cervical carcinoma presents for staging (Figs. 8.1 and 8.2). Fig. 8.1 Fig. 8.2 • A 20 mCi dose of 99mTc-MDP is administered intravenously. • Whole-body images of the skeleton are obtained 3 hours after tracer administration. • A 1024 × 256 matrix is used for whole-body images. • Emphasize the importance of oral hydration to improve soft tissue and bladder clearance. No native kidneys are seen on anterior (Fig. 8.1) and posterior (Fig. 8.2) whole-body images. Normal soft tissue clearance is seen with appropriate osseous uptake. Within the right lower quadrant, focal uptake is shown overlying the right ilium. A degenerative/arthritic type of uptake is shown in the ankles, midfeet, and both first metatarsophalangeal joints. Mild uptake in the breast soft tissue is shown bilaterally.
Clinical Presentation
Technique
Image Interpretation
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