Abstract

This 56-year-old male patient is a case of recurrent lung adenocarcinoma after receiving operation, radiotherapy,and chemotherapy. The results of Tc-99m methylene diphosphonate (99mTc-MDP) whole body bone scan and fluorine-18 deoxyglucose (FDG) positron emission tomography (PET) were discordant in several lesions. We have to consider the different mechanism of 99mTc-MDP whole body bone scan and FDG PET as well as the sensitivity of planar image and tomography. If only we fully understand the history of patient and the different mechanism of these two studies, we can correctly interpret the results.

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