Bone scan in Low back ache evaluation.
Contributed by Dr K Kumaresan, Hyderabad

36yr old male presented with low backache. Patient was referred for 99mTc MDP bone scan. A lumbar three-phase bone scan & a delayed whole body survey were performed. Following are the images.
Please interpret the images & give your diagnosis.

Vascular phase Posterior lumbar & pelvis images

Soft tissue & skeletal phase images Posterior lumbar & Pelvis

 

ANSWER TO QUIZ OF MONTH JAN 2007 –
QUIZ CONTRIBUTED BY DR K KUMARESAN, HYDERABAD.

This is a case of AVM arising from internal iliac artery, operated later.

Other imaginging modalities performed were X ray, CT scan & angiogram
Images attached.