Findings

Radiographs of the left tibia demonstrated a markedly sclerotic and deformed bone consistent with cicatrix formation. Bone scintigrams showed diffusely increased uptake of Tc-99m MDP involving the distal tibia, with several areas of locally increased uptake, particularly at the most distal aspect of the tibia. Gallium scintigraphy showed no increased uptake to suggest active osteomyelitis.

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