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AJR Teaching File: Multiple Symmetric Abnormalities in a Radionuclide Bone Scan

Ba D. Nguyen1 and Panol C. Ram

1 Both authors: Department of Radiology, Mayo Clinic Scottsdale, 13400 E Shea Blvd., Scottsdale, AZ 85259.


Figure 1
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  		Fig. 1A —41-year-old woman with imaging workup for metastatic medullary thyroid carcinoma. Total-body 99mTc methylene diphosphonate bone scintigraphy shows absent clavicles (straight arrows), frontal bossing (arrowheads), and hypoplastic iliac bones (curved arrows).

 

Figure 2
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  		Fig. 1B —41-year-old woman with imaging workup for metastatic medullary thyroid carcinoma. Posteroanterior chest radiograph shows absent clavicles with drooping shoulders.

 

Figure 3
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  		Fig. 1C —41-year-old woman with imaging workup for metastatic medullary thyroid carcinoma. Lateral topographic CT image of head and neck shows frontal bossing (arrowhead), wormian bones (arrows), and extensive dental repair.

 

Figure 4
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  		Fig. 1D —41-year-old woman with imaging workup for metastatic medullary thyroid carcinoma. Axial CT image of skull base shows wormian bones (arrows).

 

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