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Car Accident With Airbag Deployment Trauma Showed Special Pattern in Bone Scan

Chuang, Tzyy-Ling, MD*†; Hsu, Ta-Wen, MD†‡; Chou, Shih-Chin, MD*; Wang, Yuh-Feng, MD, PhD*†

doi: 10.1097/RLU.0000000000002537
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A 72-year-old man had rectal adenocarcinoma with partial obstruction with liver and lung metastases. Bone scan showed special pattern with bony destructions to the lateral aspect of the left first to fourth and right first to 10th ribs (in a row in continuous vertical alignment), the costal end of the left second rib, the left sternoclavicular junction, and sternum. Patient recalled a car traffic accident with airbag deployment trauma to the anterior aspect of the chest about 2 months prior. Chest CT confirmed that the bone lesions were all fractures.

From the *Department of Nuclear Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi;

School of Medicine, Tzu Chi University, Hualien; and

Division of Colorectal Surgery, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

Received for publication January 17, 2019; revision accepted January 30, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Yuh-Feng Wang, MD, PhD, Department of Nuclear Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 2, Minsheng Rd, Dalin Township, Chiayi 622, Taiwan, Republic of China. E-mail:

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                                                        airbag deployment; bone scan; car accident; rib fractures

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