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. 2019 May 30;19:44. doi: 10.1186/s12880-019-0345-1

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© The Author(s). 2019

Open Access This 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. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 4 — A 59-year-old man with known scapular osteosarcoma was referred for metastatic work-up. The whole-body scan (a, anterior; b, posterior) showed multiple foci of abnormally increased ^99mTc-MDP uptake in the left shoulder, supraclavicular region, chest and abdomen (black arrow). Axial CT (c, e, g, i), and SPECT/ CT images (d, f, h, j) showed that the elevated ^99mTc-MDP activity was located in the left shoulder, supraclavicular lymph nodes, pleura, lung, posterior peritoneum and periumbilical subcutaneous tissue (the lesion was missed on WBS due to overlap with the lumbar vertebra) (white arrow)