Doctor insights on:
Focal Tracer Uptake In Bones
Bone scan normal except tracer uptake hot spots in both big toes. No pain here, labs neg for osteo + RA. Don't exercise, what else could explain this?
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Q. 1 of 2. Renogran, left kidney. Parenchymal tracer uptake is reduced with negligible wash out. What does it mean?
If I understand the: Question correctly, the left kidney renogram shows decreased uptake of tracer, which means decreased kidney function. The negligible wash out means little urine production, or possibly a blockage of the upper ureter. Please discuss with your doctor, as this appearance needs to be correlated with your medical condition and the reason your doctor ordered the test. ...Read more
Increased tracer uptake in the cervical spine/ body scan. Neck pain associated w/ torn labrum. COPD diagnosis as well. Is this worth a second look?
Unclear story: Increased tracer uptake may or may not be pathological- arthritic joints in the neck will commonly have increased uptake. If it is in the vertebral bone itself, that is unusual and would need a "second look". A "torn labrum" would suggest shoulder pathology, not the neck- you may simply have your terms confused. Obviously, you had a test done for a reason so need to f/u with the ordering doc. ...Read more
Hi could you please explain what "moderately intense increased tracer uptake at the L5-S1 level of the lumbar spine and L4-5 level and right hip joint?
Bone scan?: Did you have a bone scan done? Assuming that is the case, a chemical (tracer) is injected into the body and will "light up" anywhere there is increased bone activity (increased tracer uptake). Causes of intense increased uptake usually are seen with a fracture, some metastatic lesions, and infections of the bone. Moderate uptake can be seen in arthritic joints such as possibly your hip and back ...Read more
Possibility of death:
Is rather rare from an allergy. Make sure you mention your allergies to the technician/rediologist. There are alternatives tracers which they might be able to. Use. Make sure you tell them. If they don't have alternatives they won't do the test.
Otherwise risk for this procedure are very few.
Good luck. ...Read more
Diffuse uptake icreased bone marrow uptake, likely to reflect reactive marrow hyperplasia is this normal?
Depends: Much more info is needed. Why was the scan done? What medical conditions exist? Talk to the doctor who ordered it. Best wishes. ...Read more
On a recent full body bone scan, there was minimal uptake on the posterior lateral left 7th rib. I have pain in the rib. What to do?
Xray/exam: Get a regular x-ray of the ribs and a physical exam. ...Read more
I had a bone scan done recently I'm trying to see what results mean the findings say homogenous uptake throughout skeleton seen what does it mean?
Homogenous = normal:
The term "homogenous" means something similar to consistent or equal. If there is homogenous uptake throughout the skeleton it means there are no abnormal areas of "high uptake" or "hot spots" such as bone cancers.
Therefore, homogenous uptake in the skeleton is considered normal. Still, have a discussion with the doctor who ordered the scan as they will have a better understanding of your case. ...Read more
Hi, I had a question. I recently had a whole body Nuclear Medicine bone scan done and the report says "Unremarkable tracer localization is seen in the osseous structures, what does this mean?
Bone scan: The fact that the interpreting md. Stated it appears unremarkable is an indication that your scan is normal. The description about the distribution is the regular venacular describing the normal uptake by the bone (osseous means our bony skeleton) of the material that has been injected. ...Read more
Tracer uptake: Read the report. But it sounds like it means that there is increased bone metabolism at that location. The radiopharmaceutical maps calcium activity (osteoblastic) of the bone. Can have increased metabolism in response to mechanical stress, a fracture, cancer, infection, and miscellaneous reasons. ...Read more
Present nuclear bone scan: more uptake than previously at L3L4, L5S1.Also the prev. Titanium screws for a fusion done for L4L5 displaced. What to do?
Go. Back to surgeon: You need to go back to the surgeon whom I shall assume ordered the test. You need to talk to him about your options ...Read more
Increased activity: Strong uptake on bone scan means increased metabolic bone activity. This could indicate inflammation, fracture, infection, and/or bone tumor. These results usually are considered in the face of plain x-rays and exam to determine the diagnosis. Sometimes mri/ct scan are also needed. ...Read more
For a bone scan what is the purpose of doing some scans before/during the injection of the tracer? I thought that the scans were after it was absorbed
Easy imaging...: It sounds like you are referring to a three phase bone scan (flow, blood pool, and delayed images). Early images can provide more information depending on what your condition is. Early images are helpful to look for osteomyelitis, RSD, and some other conditions and can help determine if a condition is acute or chronic. ...Read more
I had a NM bone spect today, what does this mean? Findings compatible with L5 pars interarticularis left defect or stress injury with uptake.
Not much: In the future you might have a slippage of L5 on S1. Your doctor can tell you more. ...Read more
My 13 year old has the bones of an 11 year old, as well as low T-3 uptake, is this hypothyroidism?
Possibly: But find out why...could be primary from thyroid, or secondary from pituitary. Recommend you consult endocrinologist and do a complete thyroid panel. ...Read more
What does "uptake" mean on a bone scan as in "mildly increased uptake involving the RIGHT C6-C7 facet joint?
Bone scan: Uptake means there is simply bone turnover or bone production and degradation in the form of cellular activity. Diagnosis includes fracture arthritis infection tumor anything that dynamically affects bone A bone scan is not an absolute and MUST be correlated with a clinical question plain X-rays and a working differential diagnosis. You must speak to the ordering or treating physician!!!! ...Read more
What are the risks of radioactive tracers in bone scans? Is there risk of nephrogenic systemic fibrosis, and should creatinine be checked before test?
No: NSF is a rare condition sometimes associated with gadolinium administration (contrast) during an MRI exam in patients with renal disease. This is not the same radioactive tracer used in bone scans, usually Technesium 99m. As a matter of fact, gadolinium is not radioactive. The amount of radioactive tracer used for a routine bone scan is so small, no significant side effects are expected ...Read more
My bone scan says there is mild generalized increased uptake in left ankle and mid foot and in 1st met. Phalangeal areas. What does this mean?
Why the bone scan: Bone scans are done to evaluate for bone tumors, bone metastasis, infection, and occult fractures such as stress fractures. The study will often be mildly abnormal with arthritis. Your results sound like arthritis, and should be compared to the x-rays of your feet and ankles. ...Read more
I have PSA - Bone Scan report says there is an increased activity and uptake of the left SI joint, both shoulders and TMJ. What does this mean for me?
Here are some...: What does "PSA" mean in this question? A blood test or a clinical syndrome? Please specify it so an answer to the point could be given. Bone scan showing hot spots at the joints usually suggests the presence of some inflammation - arthritis. For detailing, ask the attending doctor ordering bone scan, who should possess more pertinent info about you than anyone online. ...Read more
Bone scan "increased uptake bilateral SI joints, left greater than right likely due to stresses" Can this mean stress fractures??
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema, family history, paternal taking Forteo to strengthen bones.?? ideas?
You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for.
If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
Hip revision 5 years ago Fell on hip had bone scan 4 mm lucency around proximal stem, distally only nominal increased uptake Thigh pain revision again?
Uncertain: You need in an evaluation to be certain if it is necessary ...Read more
What does increased uptake around the area of the left acetbulum mean? Have had two hip replacements, last one in 1999. Bone scan shows significant bone lose and CT shows increased uptake around the area of the left acetabulum as well as the femoral comp
Uptake on bone scan:
Bone scan after injection of IV radiotracer is sensitive for changes in bone metabolism. Increased uptake is not specific but can be related to infection, fracture, loosening or even tumor. However ct shows anatomy and pathology. The loss of bone can occur from lack of normal weight bearing or disuse.
Demineralization around stem of prosthesis can be loosening. You should consult your doctor. ...Read more
I am experiencing severe pain in knee and thigh. I have had X-rays a MRI and a bone scan. All points to an Enchrondoma size of lesion is 5.9cm by 3.2cm. Bone scan results say mild uptake in metabolically active lesion?
See specialist: Your best option is to see an ORS who is a tumor/ reconstructive surgeon. There are several centers in Canada and many in the U.S.You want a surgeon who has done this surgery before (if needed). They can also determine if this benign bone tumor is the cause of your pain and your options. Best of luck! ...Read more
Do Standard99m Tc bone scans with tracer ever reveal lytic lesions of Myeloma, or only ever osteoblastic lesions, and fracture? Having workup for MM.
Bone scan, not helpf: Bone lesions of myeloma do not show up on a Bone scan. So it is not a useful test when looking for bone lesions which can be seen more easily with MRI scan. Alternatively a CT scan can help in a localised spot and PET scan can also be useful in certain select situations. ...Read more
Low grade increased uptake in medial cuneiform bone with mild arthropathy soft tissue swelling metatarsal tarsal joint along soft tissue of the dorsum?
Results from my daughter's bone scan says that there is mildly increased uptake in the dorsum of her midfoot on delayed imaging. Stress fracture?
Not necessarily: I would expect the same type of report from a kid with a bone bruise or scuff at the same location. Such wording should be paired with the results of a history and physical exam to decide the diagnosis. ...Read more
Left knee medial compartment joint replacement hardware with abnormal uptake of tracer in the medial left femoral condyle proximal to the prosthesis.
Varies: It varies in part on the type of scan you underwent and the timing of when your knee replace my was done as well. A standard bone scan will light up with increased bone activity and would be concerning for loosening, infection, or fracture. A white blood labeled scan that lights up whilst be concerning for infection. I would discuss with your surgeon. ...Read more
My MRI report is>:loss of normal lumber lordosis, normal vb aligment, no focal bone or para vertebral soft tssue abnormality seen
What can I do if my latest bone scan shows results in both focal and linear areas, what is the difference?
Many possibilities.: It depends why you had your bone scan done. Focal lesions means "localized" and can have various shapes (circular, linear.) and various localizations. A linear lesion usually means a fracture or compression such as seen in the vertebral column. These are two different descriptive terminologies. Again, it should be easier to respond to your answer if we had the results of your scan. Good luck. ...Read more
What is mild lateral excursion to the patella with focal subchrondral bone marrow along the median ridge inferior patella? Overlying chondromalacia
Weak VMO-LrgQ angle: The VMO ->the medial part of quadriceps muscle, when relatively stronger, it can help your patella (knee cap) track in the middle of its groove. As you grow, hips get wider and that increases the Q angle (look it up). Strengthen your VMO with Quad Sets. Put a Coffee can under your knee straighten- hold. Toes in X20, toes strait X10, Toes out X10. VMO works w/ toes in. Incr. To 100/50/50. Ice. ...Read more
8.5 yrs daughter with bone age of 11.5 yrs. Mri: diffused enlargement of pituitary gland 10.5x7.3x7.8mm with no focal lesion. How abnormal is the size
A bit tricky: The pituitary grows during childhood and peaks in the 2nd or 3rd decade. Most studies measuring pituitary size on MRI focused only on the height of the pituitary gland and find that the mean peak height is usually about 6 mm +/- 1 mm. More recent studies measure the actual volume of the pituitary with special 3d mri. The mean volume for 5-9 yo girl in one study was 336+/-113 mm3. ...Read more
Had anterior labral focal depression of shoulder bone &got repaired through binocular surgery, now when I do shoulder exercise spring like sound comes?
Focal scarring: I believe the labrum probably has some scar tissue associated with the original injury, and there is bound to be some scarring from the surgery itself. If there is no pain or limitation of range of motion, the noise should not be a concern, only a side effect of injury and surgery. If there is pain or a limitation to your use of the shoulder, see an ortho and get an MRI to investigate ...Read more
Abnormal focal osseous uptakes are identified in the right proximal clavicle and the right scapula with corresponding osteolytic and blastic findings on CT are consistent with metastatic disease. Cancer?
This is my X-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?
That is normal: The radiologist when they read a film will often say what they don't see to show that they looked for it. A focal bone lesion is a tumor or fracture. A compression fracture is a fracture from trauma or osteoporosis. Disc loss height and degenerative body spurs are signs of arthritis. So what you quote here is the radiologist saying that they do not see any of that. ...Read more