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Unforeseen COVID-19 on Oncologic Bone Scan with SPECT/CT in a High Prevalence Area


  • Sana Munir Gill
  • Aamna Hassan
  • Humayun Bashir

Received Date: 30.06.2020 Accepted Date: 23.08.2020 Mol Imaging Radionucl Ther 2020;29(3):139-142 PMID: 33094579

A 65-year-old woman with known diabetes and hypertension underwent a technetium methylene diphosphonate (Tc-99m MDP) bone scan with single photon emission computed tomography/computed tomography (SPECT/CT) for shoulder pain. She was initially treated for breast cancer and later for hepatocellular carcinoma. SPECT/CT showed MDP nonavid and scattered pulmonary ground-glass opacities bilaterally along with rounded nodular densities. Another 56-year-old patient who was newly diagnosed with right breast invasive ductal carcinoma underwent a bone scan with SPECT/CT, which revealed bilateral pulmonary infiltrates. Both patients later tested positive for Coronavirus Disease-2019 (COVID-19). Therefore, nuclear physicians should be watchful of findings related to COVID-19 on SPECT/CT thorax as this is becoming the new normal.

Keywords: Bone scan, single photon emission computed tomography/computed tomography, SARS-CoV-2, COVID-19


Informed Consent: Institutional review board did not mandate informed consent.

Peer-review: Externally and internally peer-reviewed.

Authorship Contributions

Concept: A.H., H.B., Literature Search: S.M.G., Writing: S.M.G.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.


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