Osteomyelitis - Tc99m MDP SPECT/CT

Case contributed by Dr Chris O'Donnell

Presentation

Elderly diabetic with a foot ulcer over the 5th metatarsal head - osteomyelitis?

Patient Data

Age: 80
Gender: Male

NM bone scan and co-registered CT

Modality: Nuclear medicine

Focus of intense isotope accumulation superimposed over the 5th metatarsal head. In the context of clinical sepsis and given the presence of adjacent subcutaneous gas, findings indicate established osteomyelitis.

Modality: X-ray

Soft tissue swelling and subtle soft tissue gas over the 5th metatarsal head. Note vascular calcification indicating advanced small vessel atherosclerosis. No overt bone erosion thus bone scan has been very helpful in diagnosis.

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Case Information

rID: 27726
Case created: 16th Feb 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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