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Scintigraphic Pitfall in a Patient with Steatopygia

EMBRY, RONALD L., M.D.; DELAPLAIN, CALVIN B., M.D., (LTC, Medical Corps, U.S. Army)

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A 37-year-old female with coccyx pain was imaged with planar and SPECT bone scintigraphy. Decreased uptake was noted at L4 and L5. MRI was also performed as part of further patient evaluation. A “shelf” of paragluteal adipose tissue (steatopygia) was incidentally noted as the cause of the apparent decreased uptake on bone imaging

From the Nuclear Medicine Service, Department of Radiology, Tripler Army Medical Center, Honolulu, Hawaii

© Lippincott-Raven Publishers.