Findings

Radiographs demonstrated multiple lytic and blastic lesion to the spine (A-P and lateral) and destruction of the right glenoid (arrow). A Tc-99m MDP bone scintigram demonstrated multiple regions of increased and decreased activity (right shoulder, left shoulder, LS spine); a Tc-99m sulfur colloid liver spleen scan showed hepatomegaly with multiple focal liver defects. A CT scan confirmed the presence of liver defects and destructive change in the spine.

___________________________________________________________

J. Anthony Parker, MD PhD, jap@nucmed.bih.harvard.edu