Radioisotope whole-body bone scan. (a) Increased focal uptake consistent with multiple rib fractures as well as increased metabolic activity involving the right distal radius, ribs, ankles, right inferior pubic ramus and sacral ala. (b) Increased focal uptake consistent with multiple fractures as well as enhanced metabolic activity affecting the scapulae, spine, sternum, proximal and distal ends of the tibiae and distal femora. There are also degenerative changes of the hands, feet as well as spine.