Interesting ImagesProminent Bone Marrow Metastases Without Concurrent Intra-Chest Metastasis in a Case of Cardiac AngiosarcomaCheng, Junjun MD; Ou, Xiaohong MDAuthor Information From the Department of Nuclear Medicine, West China Hospital; Sichuan University, Chengdu, Sichuan, People’s Republic of China. Conflicts of interest and sources of funding: none declared. Received for publication February 28, 2020; revision accepted April 18, 2020. Correspondence to: Xiaohong Ou, MD, Department of Nuclear Medicine, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, Sichuan, People’s Republic of China. E-mail: Xuqinmao@126.com. Clinical Nuclear Medicine: August 2020 - Volume 45 - Issue 8 - p 638-639 doi: 10.1097/RLU.0000000000003130 Buy Metrics Abstract Primary cardiac angiosarcoma is rare and often advances by dissemination. Lungs are the most common metastatic sites, especially when the tumor originates in the right side of the heart. Bone metastases from cardiac angiosarcoma very rarely occur without concurrent pulmonary metastases. We report a case of cardiac angiosarcoma having prominent bone metastases without concurrent pulmonary lesions, as demonstrated by FDG PET/CT scan. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.