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accumulation of tracer accumulations of activity activity is present admitted for evaluation areas of increased arrow biopsy bone lesions bone metastases bone scan bone tumor cancer carcinoma cell chemotherapy Clinical History detect bone metastases determine extent diphosphonate distal elbow evidence of bone Ewing's sarcoma femoral femur Final Diagnosis Focal abnormal accumulations humerus Hypernephroma hyperparathyroidism images increased activity noted increased tracer accumulation Indication for Scan Interpretation ischemic necrosis later left femur left hip left knee liver lumbar vertebra lung malignant multiple bone metastases multiple myeloma normal old woman osteoid osteoma osteomyelitis Paget's disease patient was treated pelvis possibility of bone Posterior Figure Prior Diagnosis prior to admission proximal radiograph showed Radiographs Radiographs revealed region renal rheumatoid arthritis ribs right breast right femur right foot right hip right kidney right knee right scapula scan performed seen skeletal skeleton skull soft tissue Subsequent Course surgery tibia woman was admitted wrist