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Fig. 1C 74-year-old woman referred for 18F-FDG PET evaluation of solitary pulmonary nodule. Although she had no specific complaints referable to shoulder, DASH score was 12.9. She also had history of knee and hip arthritis and had undergone hip replacement. Physical examination of shoulders revealed difficulty in extension of right arm with internal rotation, slightly weakened lift-off test, and positive Hawkins test. This constellation of findings was clinically consistent with osteoarthritis. 18F-FDG PET images (A, transaxial; B, coronal; and C, sagittal) showed diffuse uptake in right shoulder in distribution of joint capsule.