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Fig. 1A. —12-year-old girl who presented with abdominal
lymphadenopathy, anemia, and pleural effusion. Differential diagnosis included
Burkitt's lymphoma versus solid tumor. Bone marrow biopsy revealed alveolar
rhabdomyosarcoma. Primary site was not identified at physical examination.
Maximum-intensity-projection PET image revealed primary site in left calf
(arrow). Note also diffuse bone marrow metastatic disease evidenced
by increased activity throughout skeleton relative to liver.
