The Role of SPECT/CT and MRI in the Differential Diagnosis of Skeletal Damage (Case Report)

Abstract

This article reveals a clinical case dedicated to a young woman, professional athlete, who made an appointment at NN Blokhin Russian Cancer Research Center for differential diagnostics of left tibia bone lesion, diagnosed by local health facilities. There were no patient complaints during routine check-up. Oncologist made an appointment for bone scan and second opinion on CT scan (was also made). Incidental findings on scintigraphy required further investigation. So a decision to perform a hybrid SPECT/CT of pelvis, MRI of pelvis and left talocrural joint was made. After complete examination non-osteogenic fibroma of left tibia bone was set as diagnose. Also there were several unexpected findings such as stress fracture of the navicular bone of the left foot, prevalent fracture of the left ischium without signs of consolidation and with the formation (developing) of a false joint and heterotopic ossification in soft tissues and ankylosis of the intervertebral joint L5/S1. This findings more likely to be posttraumatic complications.