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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: Diagnostic value of whole -body diffusion weighted imaging added to bone scan in early diagnosis of bone metastases in breast cancer patients

Fig. 1

Thirty-year-old female with Rt. Breast invasive duct carcinoma GII. DWIBS showed bilateral femoral shaft areas of restricted diffusion (A, B), appearing of low T1 signal (E), while in bone scan (C), only left trochanteric metastatic lesion. The right humeral head area of restricted diffusion (orange arrow) at (D) image while not seen in bone scan image (C). Both studies show multiple bony metastatic lesions at dorsal, lumbar vertebra, iliac bones, and ribs. The patient was managed based on the results of the MRI study; by palliative radiotherapy on weight-bearing area (bilateral femur) and lumbar spine, followed by chemotherapy. No role of surgery in patients with multiple bony metastases

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