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Doctor insights on: White Spots On Bone Scan

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What are the bright white spots on a bone scan?

What are the bright white spots on a bone scan?

Isotope deposits: A bone scan invovles injecting a radioisotope into the body. The brighter white areas are where the body has deposited more of the isotope than the less bright areas. Some of this is normal, such as in the bladder but some of these areas may be abnormal. ...Read more

Bone (Definition)

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


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What could cause bright white spots near my neck area in a bone scan?

What could cause bright white spots near my neck area in a bone scan?

Elevated activity: Increased uptake on a nuclear medicine bone scan can be secondary to a healing fracture, infection of the bone (osteomyelitis), arthritis, and tumor. X-rays of the area are frequently obtained for correlation. ...Read more

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Had full body bone scan had mottled white spots on hands wrists and feet legs black on my upper spine and a big black spot on the side of my face?

Had full body bone scan had mottled white spots on hands wrists and feet legs black on my upper spine and a big black spot on the side of my face?

Need more info...: And i advise waiting for the official radiologist or nuclear physician report. What is seen on the technologist screen is not of the same quality as the physician interprets. Also, some physicians read them where lighter means more radioactivity, and others where black does, so your description cannot be accurately commented on. ...Read more

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Had bone scan today, showed white spots lower back and hips, why is this? Had bc 2005, stress fracture showed on normal xray

Had bone scan today, showed white spots lower back and hips, why is this? Had bc 2005, stress fracture showed on normal xray

Degenerative changes: I assume the image you saw was white on black, which means that the white areas are where there is "uptake" of the radiopharmaceutical. If that is true , based on the locations you mention, most likely white dots are due to spurs ( benign bony overgrowths, facet joint arthritis, etc.). ...Read more

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Malignant melanoma causing hot spots on bone scan?

Malignant melanoma causing hot spots on bone scan?

Possible: Melanoma does have the ability to travel to bone and would show up on a bone scan. However other processes (non-malignant) can also also light up on a bone scan. Only a biopsy could tell for certain. ...Read more

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Will lytic lesions light up on bone scan? Doesn't it just show osteoblastic activity, not -clastic? Or do osteoclastic maybe show up as "cold spots"?

osteoclastic - cold: Lytic lesions can be cold(photogenic) on bone scan if host bone does not react or tumor growing too fast to allow host response with reparative bone. Some times bone infection will be under pressure and not allow blood to to deliver isotope to area and it will be cold..Osteoblastic or repair activity usually shows as increased uptake.Myeloma can induce osteoclastic activity, cold lesions in bone. ...Read more

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What do dark spots on my MRI bone scan on my spine mean?

What do dark spots on my MRI bone scan on my spine mean?

Unable to answer: T1 images will show water, air, and cortical bone as dark. T2 images will show air, cortical bone, and other hydrophobic substances as dark. So depends on image acquisition and anatomy. ...Read more

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Ca br, infiltr ductal 2b, er-pr+, her2-ve, since 4yr, tamo1yr&exemes3yr, on bone scan hot spots rt femur, left parietal, sacral, L5 but all xray normal-advice?

Ca br, infiltr ductal 2b, er-pr+, her2-ve, since 4yr, tamo1yr&exemes3yr, on bone scan hot spots rt femur, left parietal, sacral, L5 but all xray normal-advice?

Further work up: You need to discuss the results of your bone scan with your doctor and find out what is causing the hot spots. The normal x-rays don't help at all. You may need further imaging or even a biopsy. ...Read more

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Dr. Tom Heston
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