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. 2017 Sep 1;31(10):719–725. doi: 10.1007/s12149-017-1202-3

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© The Author(s) 2017

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Fig. 1 — A 51-year-old female had right breast cancer surgery 10 years ago. She showed a tumor marker elevation (carcinoembryonic antigen), and bone scintigraphy (BS) was performed. A hot spot was shown in her left femur (around lesser trochanter) on BS (a). However, following CT could not demonstrate the lesion (b coronal, c axial). Therefore, FDG-PET/CT study was carried out, and an intense FDG uptake was noticed on her left femur (d whole-body FDG image, e fusion axial image). CT-guided bone biopsy revealed the lesion as metastasis pathologically