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Multifocal areas of moderate to intense osteoblastic activity throughout mainly the appendicular skeleton and pelvis.
- the osteoblastic activity is localised to nodular and sheet-like periostitis on the cortex of the tibia, fibula and femur in both legs on the SPECT/CT
- the whole body delayed images demonstrate several other osteoblastic foci including proximal mid ulna bilaterally, mid-shafts of both humeri, bilateral hand proximal phalanges and metacarpals on the left hand
Findings are suggestive of extensive periostitis.