Figure 4. Case 2. (A) 123I-MIBG posterior whole body view 24 h post injection showing abnormal focal but faint uptake in the lung fields, spine and right sacroiliac region. (B) 111In-pentetreotide posterior whole body scan 24 h post injection shows minimal asymmetry in the left sacroiliac joint. (C) 99Tcm-MDP bone scan (posterior whole body view) shows multiple focal areas of increased tracer uptake in the spine, right scapula, some ribs and sacroiliac joints. (D,E) 18F-FDG positron emission tomography (coronal sections) shows multiple glucose-avid lesions predominantly involving lung soft tissues and the spine.