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Identification of Bladder Diverticular Stone on 99mTc-Methyl Diphosphonate Bone Scintigraphy and SPECT/CT

Dania G. Malik, Robert G. Ferrigni and Ming Yang
Journal of Nuclear Medicine Technology December 2020, 48 (4) 384-385; DOI: https://doi.org/10.2967/jnmt.120.245175

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Figures

  • FIGURE 1.
    FIGURE 1.

    99mTc-MDP whole-body bone scan shows focal intense tracer uptake overlapping left aspect of urinary bladder, more evident on posterior view (arrow). Additional focus with increased tracer uptake in left posterior eighth rib corresponds to healing traumatic fracture.

  • FIGURE 2.
    FIGURE 2.

    (A–C) 99mTc-MDP SPECT/CT images show excreted iodine contrast medium from earlier CT study filling bladder and diverticulum with focal uptake in diverticulum at left posterolateral bladder wall (A and B), corresponding to 1.0 × 0.8 cm high-density stone on same-day CT study (C, arrow). (D) Prostate MRI demonstrates left posterolateral bladder wall diverticulum (arrow). There is prominent beam-hardening artifact from metal hardware in left hip joint.

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