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Prostatic bed calcification with MDP uptake: Easy to miss on planar images.

Soheila ErfaniNasrin RaeisiSara ShakeriEmran Askari
Published in: Nuclear medicine review. Central & Eastern Europe (2022)
A 65 years old man with high-risk prostate adenocarcinoma underwent bone scintigraphy with 99mTc-methylene diphosphate (99mTc-MDP). The scan revealed a focus of radiotracer uptake in the left pubic region, which was suspicious for metastatic involvement. Additional imaging with single photon emission computed tomography (SPECT/CT) confined the uptake to be extra-osseous and contributed to the calcified zone in the prostate bed. Prostatic bed calcification with 99mTc-MDP uptake mimics metastasis and can be easily missed on planar images.
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