Incidental Diagnosis of Peyronie Disease on Bone Scintigraphy

Abstract

A 51-year-old man with renal failure, admitted for fever and pain over his peritoneal dialysis catheter site, was diagnosed with a pelvic abscess. Whole-body bone scintigraphy, performed as part of the septic workup, showed incidental uptake of Tc-99m MDP in the perineum. This is consistent with tunica albuginea calcification confirmed on penile ultrasound, x-ray, and computed tomography. The patient later revealed a history of erectile dysfunction. Imaging findings and history are consistent with Peyronie disease.