A 69-year-old male was sent to our emergency department with acute abdominal pain. The patient had a history of acute renal failure, hypercalcemia and chronic obstructive pulmonary disease. He was therefore admitted to the hospital for evaluation. Chest radiography indicated increased infiltration with patchy opacity over the bilateral lung. As part of the work-up, a ^(99m)Tc-methylene diphosphonate (^(99m)Tc-MDP) bone scintigraphy was obtained to identify potential tumor or its relation with other systemic diseases. An incidental finding of increased ^(99m)Tc-MDP uptake in the bilateral chest was noted. The phenomenon of increased bone-seeking agent uptake in the bilateral chest may be due to secondary pleural effusion.
一名69歲的男性因急性腹痛被送往急診。該患者有急性腎功能衰竭,高鈣血症和慢性阻塞性肺疾病的病史。因此,安排住院進一步評估。胸部X光檢查顯示雙側肺部浸潤增加且片狀不透明(infiltration with patchy opacity)。此外,安排骨骼掃描以評估是否有腫瘤或與其他系統疾病。骨骼掃描偶然發現雙側胸部區域^(99m)Tc-MDP攝取。此現象(雙側胸部區域^(99m)Tc-MDP攝取)可能是由於繼發胸腔積液所致。