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  Indian J Med Microbiol
 

Figure 1: Technetium-99m methylene diphosphonate whole-body bone scan showed symmetrically increased methylene diphosphonate uptake in both iliac wings and anterior pubic bone adjoining pubic symphysis. Correlating with a history of radiation therapy, iliac insufficiency fracture was diagnosed and called as “bow sign” seen on technetium-99m methylene diphosphonate bone scan. Diffuse physiological tracer uptake is also noted in the skull, nasal cavity, and sternum

Figure 1: Technetium-99m methylene diphosphonate whole-body bone scan showed symmetrically increased methylene diphosphonate uptake in both iliac wings and anterior pubic bone adjoining pubic symphysis. Correlating with a history of radiation therapy, iliac insufficiency fracture was diagnosed and called as “bow sign” seen on technetium-99m methylene diphosphonate bone scan. Diffuse physiological tracer uptake is also noted in the skull, nasal cavity, and sternum