Indian Journal of Nuclear Medicine

LETTER TO THE EDITOR
Year
: 2017  |  Volume : 32  |  Issue : 3  |  Page : 247-

Myofascial pain syndrome on Tc99m MDP bone scintigraphy


Rola Aatif Hasan Hussain, Ammar Mohammed Saeed Ali, K Manivannan, SK Chirala 
 Department of Radiology, Salmaniaya Medical Complex, Manama, Kingdom of Bahrain

Correspondence Address:
S K Chirala
Department of Radiology, Salmaniaya Medical Complex, PB 12, Manama, 311
Kingdom of Bahrain




How to cite this article:
Hussain RA, Ali AM, Manivannan K, Chirala S K. Myofascial pain syndrome on Tc99m MDP bone scintigraphy.Indian J Nucl Med 2017;32:247-247


How to cite this URL:
Hussain RA, Ali AM, Manivannan K, Chirala S K. Myofascial pain syndrome on Tc99m MDP bone scintigraphy. Indian J Nucl Med [serial online] 2017 [cited 2021 Apr 19 ];32:247-247
Available from: https://www.ijnm.in/text.asp?2017/32/3/247/207889


Full Text

Sir,

A 45-year-old male presented with upper back pain of 1 month duration. The only relevant finding in the clinical history was that he has been using a computer with a keyboard for extended number of hours each day for years. Chest X-ray posteroanterior view showed soft tissue swelling and calcification in the right axillary region [Figure 1].99m Tc-Methylene Diphosphonate skeletal scintigraphy showed abnormal radiopharmaceutical localization at multiple sites in the skeleton indicating skeletal metastasis. Following computed tomography (CT) of the chest, biopsy of the lung lesion reported adenocarcinoma of lung. In the 99m Tc-MDP skeletal scintigraphy, abnormal soft tissue localization was also seen in the region of the teres major muscles, bilaterally, more on the right side [Figure 2]. Magnetic resonance imaging confirmed this soft tissue process in the right shoulder. These findings were consistent with rhabdomyolysis.{Figure 1}{Figure 2}

Rhabdomyolysis of the Teres muscles appears to be a very rare occurrence, and has been reported as a sports injury [1] after transcatheter chemoembolization,[2] and as an incidental finding.[3] In the present case, rhabdomyolysis of the Teres muscles was seen in the clinical setting of skeletal metastasis in an unknown primary, which was later diagnosed as adenocarcinoma of the lung.

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.

References

1Oza UD, Oates E. Rhabdomyolysis of Bilateral Teres Major Muscles. Clin Nucl Med 2003;28:126-7.
2K1 Matake, Tajima T, Yoshimitsu K, Irie H, Aibe H, Sugitani A, et al. Rhabdomyolysis developing after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma, Cardiovasc Intervent Radiol. 2009;32:1284-7.
3Steuart RD, Morrison RT, Lot L. An Incidental Finding of Rhabdomyolysis on Bone Scintigraphy: Case Report. J Nucl Med Technol 1993;21:63-4.Sir,