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Fig. 4C. —43-year-old man with colon cancer and multiple bone metastases. On
rib sonogram, no lesion is visualized. When metastatic lesion involves only
bone marrow, bone cortex can be intact. Sonography cannot transmit through
intact bony cortex. Thus, if there are multiple increased uptakes of
radionuclide on scintigraphy and negative results on rib sonography,
metastatic lesion is suggested.
