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Case Report

Pak J Nucl Med. 2012; 2(1): 77-79


Unusual appearance of 99mTc-HMPAO brain perfusion SPECT in unsuspected Paget's disease of the skull

Qaisar H Siraj, Peter J Buxton.



Abstract
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It is not infrequent for Paget's disease and osseous metastases to coexist in an elderly patient and this possibility has to be kept in mind in order to avoid mistaken diagnosis. We report a patient with multiple concurrent pathologies in the skeleton including bone metastases, traumatic rib fractures and Paget's disease causing diagnostic uncertainties.





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