CLINICAL NUCLEAR MEDICINE, cilt.31, sa.3, ss.154-156, 2006 (SCI-Expanded)
A 33-year-old woman with chronic tuberculosis was referred to our service with swelling and pain at her right elbow. A lytic lesion in the right distal humerus was found on radiographic examination. Magnetic resonance imaging (MRI) was performed with suspicion of a lytic tumor, and there was a hypointense lytic mass on T1-weighted images with soft tissue involvement and mild enhancement after contrast administration. Anterior and lateral bone scans with Tc-99m methylene diphosphonate (MDP) revealed increased uptake in only the right distal humerus. The diagnosis was caseous granulomatous osteomyelitis obtained by pathologic examination of the biopsy from the lesion.