Indian Journal of Nuclear Medicine
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INTERESTING IMAGE
Year : 2021  |  Volume : 36  |  Issue : 2  |  Page : 226-228

Advantage of hybrid 18F-fluoride positron emission tomography/computed tomography to diagnose malignant rib invasion by pleural metastasis in a background of reactive periostitis


Division of PET/CT, Gemini Scans, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Sampath Santhosh
Division of PET/CT, Gemini Scans, Vadapalani, Chennai - 600 026, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.ijnm_215_20

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Diffuse osteoblastic activity in the ribs on bone scan is seen in association with pleural thickening. Irrespective of the pleural pathology, this represents benign finding caused by pleural hyperemia or reactive periostitis, with preserved cortical integrity. However, malignant involvement of the ribs can occur by local invasion of pleural malignancy causing cortical lysis. Herein, we describe the 18F-fluoride positron emission tomography/computed tomography findings of reactive periostitis of the ribs in pleural metastasis and emphasize the advantage of hybrid imaging in detecting local malignant tumor invasion superimposed in such condition.


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