Interesting ImagesCOVID-19 Incidental Diagnosis by 18F-FDG PET/CTSinha, Partha MD, MBA, FACNM∗,†; Sinha, Shyamashree MD, MBA, MPH∗,†; Schlehr, Evemarie RDN, CDN‡; Schlehr, James M. MD∗,†Author Information From the ∗Department of Nuclear Medicine, University at Buffalo †VA Western New York Healthcare System, Buffalo ‡Our Lady of Victory Human Services, Lackawanna, New York. Received for publication April 18, 2020; revision accepted April 30, 2020. Conflicts of interest and sources of funding: none declared. Author roles: P.S. contributed to the image interpretation and manuscript preparation. S.S. contributed to the manuscript preparation and reference research. E.S. contributed to the manuscript preparation and public health input. J.M.S. contributed to the image interpretation and manuscript preparation. Correspondence to: Partha Sinha, MD, MBA, FACNM, VA Western New York Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215. E-mail: firstname.lastname@example.org. Clinical Nuclear Medicine: August 2020 - Volume 45 - Issue 8 - p 659-660 doi: 10.1097/RLU.0000000000003154 Buy Metrics Abstract A 73-year-old man with chronic obstructive pulmonary disease and no known malignancies was evaluated for back pain. MR examination showed lumbar spine compression fractures, and an 18F-FDG PET/CT scan was requested to assess for skeletal metastatic disease and potential detection of a primary neoplasm. The PET/CT examination revealed scattered FDG-avid pulmonary opacities with upper lobe preponderance highly suspicious for COVID-19. Real-time polymerase chain reaction testing of nasopharyngeal swabs confirmed the diagnosis. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.