Abstract
Bone scan continues to be the second greatest-volume nuclear imaging procedure, offering the advantage of total body examination, low cost, and high sensitivity not only for metastatic lesions but also benign conditions. Its power rests in the physiological uptake and pathophysiologic behavior of 99m technetium (99m-Tc) diphosphonates. 1 The localization of radiotracers in damaged skeletal muscles is because calcium builds up in them and provides a site for radiotracer deposition when combined with phosphate.1 In case of suspected rhabdomyolysis, bone scintigraphy is not only a sensitive indicator of muscle damage, but the amount of uptake is proportional to the extent of myonecrosis.2,3,5,6,7 Specifically, in sports medicine, this could be a valuable tool in discriminating bone or muscle trauma.4 Our aim is to present an unusual case of a 19 year old female patient who suffered of heat stroke and presented with several unusual findings seen on bone scan and to demonstrate important teaching points.
