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Fig. 2D. 19-year-old woman who presented with left thigh mass proven
by biopsy to be high-grade malignant peripheral nerve sheath tumor. Axial CT
(C), PET (D), and fused PET/CT (E) images show intense
activity in ninth thoracic vertebral body (arrows), which was proven
by biopsy to be metastatic disease. Bone metastases are very rare in malignant
peripheral nerve sheath tumor, and this metastatic deposit was not clinically
suspected. Technetium-99m-labeled methyldiphosphonate bone scan obtained the
day before PET showed no evidence of disease in thoracic spine.