title: Technetium-99m methylene diphosphonate uptake in the brachialis muscle hematoma in a patient with prostate cancer and coagulation disorder mimicking bone metastasis evaluated by single-photon emission tomography-computed tomography/computed tomography.
abstract: We report a case of 79-year-old male with prostate cancer and coagulation disorder presented with left shoulder pain. He underwent bone scintigraphy to rule out metastasis, which showed intense foci of tracer activity in the left axilla. Hybrid single-photon emission tomography-computed tomography (SPECT/CT) of the shoulder region localized tracer uptake to the left brachialis muscle hematoma.
authors.affiliation: Department of Nuclear Medicine and PET/CT, Comprehensive Cancer Care Centre, Kovai Medical Centre and Hospital Limited, Coimbatore, Tamil Nadu, India.
authors.forename: Koramadai Karuppusamy
authors.initials: KK
authors.lastname: Kamaleshwaran
authors.affiliation: Department of Nuclear Medicine and PET/CT, Comprehensive Cancer Care Centre, Kovai Medical Centre and Hospital Limited, Coimbatore, Tamil Nadu, India.
authors.forename: Vyshakh
authors.initials: V
authors.lastname: Mohanan
authors.affiliation: Department of Urology, Comprehensive Cancer Care Centre, Kovai Medical Centre and Hospital Limited, Coimbatore, Tamil Nadu, India.
authors.forename: Devdas
authors.initials: D
authors.lastname: Madhavan
authors.affiliation: Department of Nuclear Medicine and PET/CT, Comprehensive Cancer Care Centre, Kovai Medical Centre and Hospital Limited, Coimbatore, Tamil Nadu, India.
authors.forename: Ajit Sugunan
authors.initials: AS
authors.lastname: Shinto
keywords: Coagulation disorder; muscle hematoma; single-photon emission tomography-computed tomography; technetium-99m methylene diphosphonate