Asymmetric (99m)Tc-MDP uptake in mineralized tendons might mimic bone lesions: heterotopic tendon mineralization on a (99m)Tc-MDP bone scan and a (18)F-FDG PET/CT scan

Clin Nucl Med. 2014 May;39(5):480-2. doi: 10.1097/RLU.0b013e31829b9d83.

Abstract

A 55-year-old man was a hepatocellular carcinoma patient, diagnosed by sonography and a biopsy. Because of his musculoskeletal tenderness, a bone scan was performed to exclude skeletal metastasis. A subsequent F-FDG PET/CT scan revealed that the unilateral abnormal uptake seen on the bone scan was actually a mineralized tendon. A mineralized tendon is easily detectable using Tc-MDP; therefore, it is imperative to differentiate between bone lesions and mineralized tendons. In addition, few studies have reported F-FDG uptake in a calcified tendon.

Publication types

  • Case Reports

MeSH terms

  • Bone Neoplasms / diagnostic imaging*
  • Calcinosis / diagnostic imaging*
  • Diagnosis, Differential
  • Fluorodeoxyglucose F18*
  • Humans
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Positron-Emission Tomography*
  • Technetium Tc 99m Medronate*
  • Tendons / diagnostic imaging*
  • Tendons / pathology
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18
  • Technetium Tc 99m Medronate