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Kim, Cho, Kim, Kim, Hyun, and Lee: Multifocal Skeletal Tuberculosis Mimicking Metastasis Involving the Sternum, Lumbar Vertebra, and Sacrum
Musculoskeletal Radiology
Case Report

Journal of the Korean Society of Radiology 2010; 63(1): 69-73.

Published online: 31 July 2010

DOI: https://doi.org/10.3348/jksr.2010.63.1.69

Multifocal Skeletal Tuberculosis Mimicking Metastasis Involving the Sternum, Lumbar Vertebra, and Sacrum

Jun Ho Kim, M.D., Soon Gu Cho, M.D., Kwang-Ho Kim, M.D.2, Yeo Ju Kim, M.D., In Young Hyun, M.D.3, Kyung Hee Lee, M.D.

1Department of Radiology, Inha University School of Medicine, Korea.

2Department of Thoracic & Cardiovascular Surgery, Inha University School of Medicine, Korea.

3Department of Nuclear Medicine, Inha University School of Medicine, Korea.

Address reprint requests to: Kyung Hee Lee, M.D., Department of Radiology, Inha University Hospital, 3-ga, Shinheung-dong, Choong-gu, Incheon 400-711, Korea. Tel. 82-32-890-2769, Fax. 82-32-890-2743, khlmay@inha.ac.kr

Received 23 December 2009       Accepted 21 March 2010

Copyright © 2010 The Korean Society of Radiology

Abstract

The incidence of multifocal skeletal tuberculosis is very rare and its diagnosis, very difficult because of vague somatic symptoms and non-specific physical and radiologic findings. We report a case of multifocal skeletal tuberculosis mimicking metastasis.

Keywords: Tuberculosis, Osteoarticular, Multifocal skeletal tuberculosis, Sternum, Tomography, X-Ray Computed, Mycobacterium tuberculosis

Figures and Tables

Fig. 1

A 50-year-old woman presented with pain and tenderness on the mid anterior chest wall for 1 month.

A. Axial image reveals soft tissue lesion in sternal body with cortical destruction (arrow).
B, C. CT scan shows soft tissue component with osteolytic change involving L1 body and sacrum (arrow).
jksr-63-69-g001
Fig. 2

Bone scintigraphy shows increased uptake in the body of sternum, and sacrum (black arrows).

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Fig. 3

A-C. CT-PET scan demonstrates strong FDG uptake in the sternum, L1 body, and sacrum (arrow).

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Fig. 4

A, B. Follow-up CT scan after 4years shows nearly normalized sternal body, L1 body, and sacrum (arrow).

jksr-63-69-g004

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