*BONE IMAGING INTERPRETATION*


1.BENIGN PRIMARY TUMOR
-DENTAL DISEASE (E.G., PULPITIS, PERIODONTITIS, RECENT TOOTH EXTRACTION OR ROOT CANAL TREATMENTS, ILL-FITTING DENTURES)
-FRACTURE
-HYPEROSTOSIS FRONTALIS.
-LOWER NECK UPTAKE ON ANTERIOR VIEW-NORMAL
-MALIGNANT PRIMARY TUMOR
-METASTASES
-OSTEOMYELITIS
-POSTSURGICAL CHANGES
-SHOULDER UPTAKE CORRESPONDING TO HANDEDNESS
-SINUSITIS
-UPTAKE AROUND ORTHOPEDIC DEVICES RECENTLY IMPLANTED.

2.MULTIPLE SITES OF UPTAKE
-DENTAL DISEASE (E.G., PULPITIS, PERIODONTITIS, RECENT TOOTH EXTRACTION OR ROOT CANAL TREATMENTS, ILL-FITTING DENTURES)
-FRACTURES
-METASTASES
-OSTEOARTHRITIS
-PAGET'S DISEASE
-POSTSURGICAL
-RHEUMATOID ARTHRITIS
-URINE CONTAMINATION.

3.BILATERAL LOWER LIMB OSSEOUS UPTAKE
-ARTHRITIDES (E.G., OSTEOARTHRITIS, RHEUMATOID ARTHRITIS)
-FRACTURES-POSTTRAUMATIC.
-HYPERTROPHIC PULMONARY OSTEOARTHROPATHY
-MULTIPLE METASTASES
-PAGET'S DISEASE.
-STRESS FRACTURES

4.INCREASED UPTAKE IN THE PATELLA-UNILATERAL AND BILATERAL
-IDIOPATHIC
-CHONDROMALACIA
-OSTEOARTHRITIS

5.COLD DEFECT
-AVASCULAR NECROSIS (E.G., POSTTRAUMATIC, SICKLE CELL DISEASE, SLIPPED CAPITAL FEMORAL EPIPHYSIS, LEGG-PERTHES DISEASE)
-MALIGNANT BONE TUMORS (E.G., MULTIPLE MYELOMA, RARELY OSTEOGENIC SARCOMA)
-METASTASES (E.G., LUNG, BREAST)
-PROSTHESIS OR PACEMAKER.

6.COLD DEFECT-PEDIATRIC PATIENT
-AVASCULAR NECROSIS (STEROIDS, FRACTURE)
-CONGENITAL ABSENCE OF A PEDICLE
-CONGENITAL HEART DISEASE.
-HISTIOCYTOSIS X.
-INFILTRATIVE DISORDERS (LEUKEMIA, GAUCHER'S)
-JOINT EFFUSION
-LEGG-PERTHES DISEASE
-METASTASES (ESPECIALLY NEUROBLASTOMA)
-OSTEOMYELITIS
-PARIETAL FORAMINA
-PRIMARY TUMOR (OSTEOSARCOMA, EWING'S)
-RADIATION
-SICKLE CELL ANEMIA

7.DOUGHNUT SIGN-OSSEOUS AND NON-OSSEOUS
-GIANT CELL TUMOR
-METASTATIC CARCINOMA(E.G., FOLLICULAR THYROID CARCINOMA, LUNG CARCINOMA)
-MYOCARDIAL INFARCTION
-PRIMARY TUMOR (LUNG)

8.BEAUTIFUL BONE SCAN
-DELAYED IMAGING-IN NORMAL PATIENT
-METASTASES (E.G., BREAST, LUNG, PROSTATE, BLADDER, LYMPHOMA)
-RENAL OSTEODYSTROPHY.

9.GENERALIZED DECREASED OSSEOUS UPTAKE
-CONGESTIVE HEART FAILURE (E.G., MYOCARDIAL INFARCTION, CARDIOMYOPATHY)
-IDIOPATHIC
-POOR RADIOPHARMACEUTICAL PREPARATION-DISSOCIATION OF TAG

10.PERIARTICULAR UPTAKE
-INFECTIOUS ARTHRITIS
-OSTEOARTHRITIS
-PROSTHESIS-FIRST SIX MONTHS FOLLOWING IMPLANTATION
-RHEUMATOID ARTHRITIS

11.INCREASED UPTAKE IN THE SACRO-ILIAC JOINTS
-ANKYLOSING SPONDYLITIS
-OSTEOARTHRITIS
-TRAUMA

12.POLYARTICULAR INVOLVEMENT
-ANKYLOSING SPONDYLITIS
-GOUT
-OSTEOARTHRITIS
-RHEUMATOID ARTHRITIS

13.INCREASED RENAL UPTAKE-DIFFUSE
-IDIOPATHIC
-URINARY TRACT OBSTRUCTION

14.LIVER UPTAKE
-HEPATIC METASTASES (PRIMARILY COLON, ALSO BREAST, LUNG, ESOPHAGUS, MELANOMA)
-OVERLYING SOFT TISSUE ACTIVITY SIMULATING LIVER UPTAKE
-PRIOR TECHNETIUM-99m-SULFUR COLLOID SCAN SIMULATING UPTAKE.
-RADIOPHARMACEUTICAL PREPARATION CAUSING COLLOID FORMATION.
-RADIOPHARMACEUTICAL PREPARATION-ELEVATED ALUMINUM LEVEL IN GENERATOR ELUATE.

15.SOFT TISSUE UPTAKE IN ANY ORGAN SYSTEM
-BREAST UPTAKE-NORMAL
-CARTILAGE CALCIFICATION (E.G., COSTAL, THYROID, CRICOID)
-CELLULITIS
-CHRONIC RENAL FAILURE
-ELECTRICAL BURN.
-INFARCT-MYOCARDIAL, CEREBRAL, SPLENIC
-INJECTION SITE
-INSTRUMENT CONTAMINATION
-METASTASES
-MUSCLE NECROSIS SECONDARY TO PERIPHERAL VASCULAR DISEASES.
-MUSCLE TRAUMA (E.G., CRUSH INJURY)
-MYOSITIS OSSIFICANS
-POOLING IN CALYCES-NORMAL
-PREVIOUS TECHNETIUM-99m-SULFUR COLLOID SCAN SIMULATING UPTAKE.
-PRIMARY SOFT TISSUE TUMOR-BENIGN
-PRIMARY SOFT TISSUE TUMOR-MALIGNANT
-RADIOPHARMACEUTICAL BREAKDOWN WITH FREE TECHNETIUM.
-RADIOPHARMACEUTICAL COLLOID FORMATION.
-RENAL-NORMAL
-URINE CONTAMINATION
-VASCULAR CALCIFICATION-ESPECIALLY FEMORAL ARTERY.

16.SKIN AND SUBCUTANEOUS TISSUE UPTAKE
-CARDIOVERSION
-CELLULITIS
-ELECTRICAL BURNS
-INFILTRATED INJECTION
-SPINAL CORD INJURY.
-SURGICAL WOUND OR SCAR
-URINE CONTAMINATION
-VASCULAR CALCIFICATION-ESPECIALLY FEMORAL ARTERY

17.SKELETAL MUSCLE AND PERIARTICULAR UPTAKE
-CARDIOVERSION
-ELECTRICAL BURN
-MUSCLE TRAUMA
-MYOSITIS OSSIFICANS
-PERIPHERAL VASCULAR DISEASE WITH ISCHEMIA
-RHABDOMYOLYSIS (E.G., ALCOHOLISM)

18.INCREASED GENITOURINARY UPTAKE
-IDIOPATHIC
-NORMAL
-POOLING IN CALYCES
-URINARY TRACT OBSTRUCTION.

19.INCREASED RENAL UPTAKE-FOCAL
-NORMAL
-POOLING IN CALYCES
-URINARY TRACT OBSTRUCTION

20.SPLENIC UPTAKE
-HEMOSIDEROSIS
-SICKLE CELL DISEASE

21.PULMONARY UPTAKE
-ANY CAUSE OF METASTATIC CALCIFICATION
-FIBROTHORAX
-METASTASES (E.G., OSTEOGENIC SARCOMA)
-PLEURAL FLUID
-PRIMARY LUNG TUMORS (E.G., LUNG CARCINOMA)
-RADIATION THERAPY.

22.GASTROINTESTINAL UPTAKE
-FREE PERTECHNETATE

23.BREAST UPTAKE
-BREAST CARCINOMA
-CHRONIC CYSTIC MASTITIS
-MASTOPLASIA
-NORMAL
-POSTMASTECTOMY

24.THYROID UPTAKE
-FREE PERTECNATATE
-NORMAL (LOWER NECK UPTAKE)

25.EXTRAOSSEOUS UPTAKE IN A PEDIATRIC PATIENT
-CALCIUM GLUCONATE INFUSION
-DYSTROPHIC CALCIFICATION (E.G., CALCINOSIS UNIVERSALIS, FAT NECROSIS, HEMATOMA, DISK, POSTSURGICAL)
-INFARCTION (E.G., CEREBRAL, MYOCARDIAL, SPLENIC)
-INTRAMUSCULAR INJECTION SITES.
-MALIGNANT EFFUSION
-POSTRADIATION
-TUMOR (E.G., HAMARTOMA, NEUROBLASTOMA, METASTATIC OSTEOSARCOMA)

26.EXTRAOSSEOUS CHEST UPTAKE IN A PEDIATRIC PATIENT
-CARDIAC INJURY
INFARCTION
PERICARDITIS
TOXICITY TRAUMA
-HYPERPARATHYROIDISM
-IDIOPATHIC PULMONARY CALCIFICATION
-MYOSITIS
-POSTSURGICAL
-TUMOR
MESENCHYMOMA
METASTASIS (ESP. OSTEOGENIC SARCOMA)
NEUROBLASTOMA
PLASMA CELL GRANULOMA
TERATOMA

27.DIFFUSELY INCREASED THORACOABDOMINAL (LOWER THORAX AND/OR UPPER ABDOMEN) UPTAKE
-METASTASES
-METASTATIC CALCIFICATION
-PLEURAL EFFUSION
-RADIOPHARMACEUTICAL PROBLEM
-RECENT LIVER-SPLEEN SCAN
-SICKLE-THALASSEMIA AND FUNCTIONAL ASPLENIA

28.CUP DEFECT IN BLADDER
-POSTPROSTATECTOMY


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