A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

Eric Chun-Pu Chu; Robert J. Trager; Alan Te Chang Chen; John Sing Fai Shum

doi:10.12659/AJCR.938034

24 October 2022 : Case report Hong Kong

A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

Mistake in diagnosis, Rare disease

Eric Chun-Pu Chu

^1ABCDE, Robert J. Trager

^2CDEF*, Alan Te Chang Chen^1ABCE, John Sing Fai Shum^3CDE

DOI: 10.12659/AJCR.938034

Am J Case Rep 2022; 23:e938034

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Figure 4. F18 Fluorodeoxyglucose (FDG) whole body positron emission tomography/computed tomography (PET/CT) excluding brain. Fused coronal PET/CT (A) showing large hypermetabolic right axillary lymphadenopathies extending from level I to level III (region enclosed by dotted line, 8.86×4.00×10.45 cm, maximum standard uptake value [SUV] of 9.28), suggestive of lymph node metastases, as well as increased uptake at L5 (arrow). Diffuse hypermetabolic lesions in the axial skeleton are also noted in the sagittal fused PET/CT (B), which is most evident at L5 (arrow) with a maximum SUV of 6.94, the highest value of any structure or vertebra. Physiologic FDG uptake is also noted in the limited brain regions, salivary glands, oropharynx, ocular muscles, vocal cords, liver, spleen, and bowel.

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A 68-Year-Old Woman with a Remote History of Breast Cancer Presenting with Low Back Pain to a Chiropractic Clinic in Hong Kong with Imaging Findings Consistent with a Vertebral Hemangioma and Vertebral Metastatic Lesions

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