Lumbosacral Transitional Vertebra Diagnosed on 99mTc-Methylene Diphosphonate SPECT/CT

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FIGURE 1.
Anterior and posterior spot images of postvoid pelvis show focus of increased radiotracer activity in left lumbosacral area overlying left sacroiliac joint. Marker used to denote site of pain correlated closely to focus of increased radiotracer intensity (not shown).
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FIGURE 2.
SPECT (A), low-dose CT (B), and hybrid SPECT/CT (C) images of lower lumbar spine and pelvis reveal hemisacralized left transverse process at level L5. Hybrid SPECT/CT image shows that focus of increased radiotracer activity corresponds to hemisacralized left transverse process of L5.