A case is described of a lower sternal "cold" central defect on a Tc-99m-MDP bone scan. There was no history of sternal trauma, infection, radiation, or surgery in this man. The appearance was consistent with a defect described as "congenital perforation of the sternum." Radiographic correlation was available and confirmed the sternal central defect.
From the Department of Nuclear Medicine,* University of Connecticut Health Center, Farmington, the Section of Clinical Nuclear Medicine,† and the Jefferson X-Ray Group, Hartford Hospital, Hartford, Connecticut
Received for publication September 15, 1996; revision accepted December 4, 1996.
Reprint requests: Richard P. Spencer, M.D., Ph.D., Department of Nuclear Medicine, University of Connecticut Health Center, Farmington, CT 06030.