Fig. 5

Thirty years old female patient complain of bilateral breast swelling. Tru cut biopsy from right breast mass done showed invasive duct carcinoma. No operation or therapy. A Reconstructed whole body PET-MIP showed bilateral metabolically active breast masses, multiple variable sized metabolically active bilateral axillary lymph nodes, upper and lower paratracheal, prevascular, and bilateral hilar lymph nodes as well as multiple metabolic active bony lytic metastatic deposits at right scapula, head of the left humerus, sternum, multiple ribs, multiple vertebrae, both iliac and ischium bones right pubic, sacrum, and upper femuri. B1 Axial CT, B2 axial PET, and B3 axial hybrid PET/CT showed right breast metabolically active mass and multiple metabolically active bony lytic metastatic deposits. C1 Axial CT, C2 axial PET, and C3 axial hybrid PET/CT showed bilateral metabolically active lymph nodes and metabolically active sternal metastatic deposit. D1 Axial CT, D2 axial PET, and D3 axial hybrid PET/CT showed multiple metabolic active bony lytic metastatic deposits at both iliac bones