Cold lesion on bone scan suggest:: (A) Osteomyelitis, (B) Lytic lesion, (C) Osteoblastic Lesion, (D) Sequestrum
Answer is B. Ans: B. Osteoclastic activity:cold uptake Ref: Internet Source: Explanation: Interpretation of Bone scans Regional Hyperactivity may be due to: Normal bone growth and remodeling Increased Blood Flow (trauma, heterotopic ossification) Reactive osteoblastic activity (active infections, tumors) Reparative bone process (healing fractures, tumors, infections) Hyper-metabolic activity (metabolic disorders) They induce an increase in blood flow and osteoblastic activity.which enhance Ca / Phosphate local accretion into the hydroxyapatite matrix Cold Spots may be caused by: Malignant Tumors Lung (2-4%) Breast (5%) Renal (10%) Neuroblastomas (bone marrow mets) Thyroid (most cases) Multiple Myeloma (most cases) Bone Abscesses (they are surrounded by activity) Bone ischemia (AVN, sickle cell etc) Hemangiomas (normal or decreased activity)