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H.J.

 

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Whole Body Bone Scan: Increased uptake in skull consistent with metastasis1. Increased uptake at L2-3 may be secondary to metastasis2 versus degenerative disease. Correlation with plain radiographs to assess bone destruction (metastasis) versus hypertrophic bone changes (degenerative disk disease).

 

AP Radiograph of Hand: Juxarticular osteoporosis1, periarticular erosions2, and ulnar subluxation at metacarpal-phalangeal joints3 consistent with severe Rheumatoid Arthritis.