AJR Women's Imaging Online
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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.





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