Abstract
A 68-year-old woman presented with fever and pancytopenia. Conventional imaging surveys including gallium scan failed to identify the possible inflammatory or neoplastic foci. Bone marrow biopsy was performed for further survey and the pathological result showed diffuse large B-cell lymphoma with suspicion of primary bone marrow type. A following FDG PET/CT scan revealed a striking disseminated FDG uptake in whole-body bone marrow and the increased FDG accumulation in the spleen. The ＂bone scan-like＂ appearance on the FDG PET/CT scan helped to confirm the diagnosis as primary bone marrow lymphoma with probable spleen involvement, the bone marrow, liver and/or spleen (BLS) type.
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