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Category Archives: Case of the week

fracture of dorsal navicular bone

Case of the week: Bone SPECT-CT dorsal navicular stress fracture

Case of the weekBy Arum Parthipun7 December 2020

Clinical presentation This 18-year-old ballet student presented with chronic pain in the dorsal midfoot. There was no history of trauma. A bone SPECT-CT scan of the feet and ankles was requested by the orthopaedic surgeon to assess for the site of pain. Key findings Planar dynamic and blood pool phase images were unremarkable. This excluded…

3D volume rendered image showing a hip replacement with impingement

Case of the week: Ischiofemoral impingement following total hip replacement on bone SPECT-CT

Case of the weekBy Arum Parthipun6 December 2020

Clinical Presentation 65 year old woman with a history of a previous right total hip replacement performed 14 years ago. Now complaining of chronic pain in the right groin and inner thigh with a clunking sensation during walking. The orthopaedic surgeon was concerned about loosening of the hip replacement, so a bone SPECT-CT scan of…

Case of the week: Bone SPECT-CT Lumbosacral Transitional Vertebra

Case of the weekBy Arum Parthipun22 November 2020

Clinical presentation 50 year old woman with a chronic history of pain in the lower back. A bone SPECT-CT of the lumbar spine was performed. Key Findings Lumbosacral transitional vertebra (LSTV) with fused right transverse process of L5 with the sacrum. Low grade uptake in the Castellvi 2a LSTV. Intense increased uptake in the left…

Linear increased uptake in the posteromedial tibial shaft

Case of the week: Tibial stress fracture and medial tibial stress syndrome on SPECT-CT

Case of the weekBy Arum Parthipun9 November 2020

38-year-old male long-distance runner presents with chronic pain in both lower legs, worse on the right than the left. bone scan with SPECT-CT of the lower limbs was performed. Fig 1. Planar bone scan showing intense uptake in proximal right tibia and low grade uptake in medial left tibia. Fig 2a and 2b. Focal uptake…

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