Presentation
Prostate cancer. Leg pain ?metastatic disease
Patient Data
Age: 80 years
Gender: Male
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Tc99m-HDP bone scan
There is diffuse increased tracer uptake seen throughout the heart, the appearances are suggestive of cardiac amyloidosis.
Focal uptake in the left hip joint is likely related to degenerative change. Mild lumbar uptake also likely degenerative.
Urinary catheter in situ.
Case Discussion
99mTc-DPD and 99mTc-HDMP have been shown to have high sensitivity and specificity for the diagnosis of cardiac amyloidosis.
Cardiac uptake can be graded according to the Perugini scale.