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Fig. 4B. —54-year-old woman with axillary node-positive infiltrating lobular
carcinoma of right breast. Patient had been disease-free on systemic hormonal
therapy until 6 years after initial diagnosis when tumor markers became
elevated. Posterior coronal image from FDG PET shows no increased uptake at
corresponding skeletal sites. Activity in paraspinal regions is due to
muscular uptake. Because of newly diagnosed skeletal recurrence, patient was
started on systemic chemotherapy.
