Incidence of exclusive extrapelvic skeletal metastasis in prostate carcinoma on bone scintigraphy

Figure 3 A 77-year-old male with carcinoma of the prostate and a Gleason’s Score 8 (4 + 4) and serum prostate-specific antigen level of 100 ng/mL. A: Staging whole body bone scintigraphy show heterogeneously increased tracer uptake involving the left hemipelvis and focal areas of increased tracer uptake involving the right 8^th rib raising the suspicion of metastatic disease; B and C: Axial computed tomography (CT) and fused single photon emission computed tomography-CT images localizes the tracer to the left iliac bone with cortical thickening and bony expansion consistent with Paget’s disease (arrow in B) and to the right 8^th rib anteriorly with a fracture line (arrow in C).