Document Type: Case Report
Section of Nuclear Medicine, Department of Radiology, Hartford Hospital, Hartford, CT, USA
Department of Nuclear Medicine, University of Connecticut Health Center, Farmington, CT, USA
Department of Pathology, Hartford Hospital, Hartford, CT, USA
A 64-year-old woman, with amyloid related kidney failure (On renal dialysis) had a bone scan because of pain in the right upper femur. The 99m Tc-MDP images revealed marked hepatic uptake. In addition, there was right proximal femoral concentration of radiotracer, which corresponded to a fracture site. As an added finding, the same femor demonstrated circumferential uptake at the lower pole. This region fractured on next day. A biopsy of the fracture site revealed amyloid staining. The plasma aluminum level was elevated, consistent with long-term dialysis. Hepatic uptake of bone imaging agent might be related to amyloid deposition or the elevated aluminum concentration.