Fig. 1

A Enlargement on his fourth digit of left hand. B, C MRI findings of 30 × 17 mm destruction on the distal part of fourth proximal phalanx of left hand. DHypertrophic osteoartropathy in both tibiae. E, F Blood flow phase and blood pool images of three phase bone scan following right arm injection of the radiotracer Technetium-99m methylene diphosphonate (MDP) revealed increased radiotracer uptake in the fourth finger and a focal retention of the radiotracer in the middle region of the fourth finger. G Diffuse increased uptake at the left wrist and a photopenic area in proximal phalanx of the ourth finger is seen H 25 × 21 mm lobulated contour lesion in the posterior segment of right lower lobe on CTT. I The axial fused PET/CT image with a maximum ıntensity prejection (MIP) image showing intensely FDG avid right lower lobe mass and the ipsilateral nodal FDG uptakes in the right tracheobronchial and right hilar lymphadenopathies