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Phone: 07 5451 0077
Fax: 07 5479 1941
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Lakeview Centre
(Suncorp Building)
Suite 1 / 30 Main Drive,
Warana 4575
Ph: 07 5493 1649
Fax: 07 5493 1659
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Bone Scans

In this section, please find some additional information about some of the Nuclear Medicine examinations.

        Tibial Stress Fracture
        De Quervain’s Tenosynovitis
        Calcaneal Stress Fracture
        Multiple Rib Fractures
 
Nuclear Medicine
Patient Information
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Tibial Stress Fracture
History:

This patient presented with pain over the distal right tibia for 6 weeks.

X-rays were unremarkable.
Scan Appearance:
Both the Blood Pool and the Delayed images show localised uptake in a linear appearance along the posterolateral aspect of the right distal tibia.

Scan Findings:
These images are most typical of a linear or spiral stress fracture involving the distal right tibia.

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De Quervain’s Tenosynovitis

History:

This patient presented with right wrist pain, without any trauma to the wrist.

Scan Appearance:
There is a linear area of increased vascularity on the radial side of the right wrist (red arrow). The bony images show only faint uptake along the medial cortex of the distal radius (blue arrow), consistent with reactive change due to overlying soft tissue inflammation.
The small green arrows demonstrate active arthritic changes throughout the fingers.

Scan Findings:
The scan appearances are typical of active soft tissue inflammation / de Quervain’s tenosynovitis along the radial side of the right wrist.


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Calcaneal Stress fracture

History::

Swelling and tenderness of the right heel for 2 weeks. ? stress fracture. Past history of osteoporosis with previous stress fracture.

Scan Appearance:
There is a linear band of markedly increased vascular and bony uptake through the body of the posterior calcaneum on the right.

Scan Findings:
Clearly demonstrated stress fracture of the posterior right calcaneum.


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Multiple Rib Fractures

History:

Patient presented with left sided chest wall pain for several weeks after coughing.

Scan Appearance:
There are multiple areas of increased uptake in the lateral left sided ribs. A further focus is seen in a lateral right sided rib.
There is a mild scoliosis convex to the right in the lumbar region. The uptake seen at the L4/5 level is localised about the intervertebral disc and consistent with degenerative osteophyte formation.
Early arthritic change is seen in the medial compartment of the left knee. Mildly increased uptake at the lateral aspect of the right greater trochanter is suggestive of bursitis.
Mildly increased uptake in the maxillary region is suggestive of sinusitis.

Scan Findings:
Multiple left sided rib fractures. A BMD scan was performed and osteopenia confirmed.

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