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  Indian J Med Microbiol
 

Figure 1: An fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography scan (Biograph 2, Siemens, Germany) was performed after the injection of 370 MBq (10 mCi) of fluorine-18-fluorodeoxyglucose with a blood glucose level of 90 mg/dl for lower back and right buttock pain. The fusion sagittal (a), transverse (b), and maximum intensity projection (f) images showing an increased fluorodeoxyglucose uptake of the L4 spine with a maximum standardized uptake value (SUVmax) of 3.2, which suggest a primary malignancy of vertebra. Enhanced computed tomography (c-e) and magnetic resonance imaging (d) images show an T1 iso to slight high signal intensity mass with irregular osteolytic lesion in vertebral body, both pedicle, transverse, and spinous process of L4 with bony cortical expansion and destruction

Figure 1: An fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography scan (Biograph 2, Siemens, Germany) was performed after the injection of 370 MBq (10 mCi) of fluorine-18-fluorodeoxyglucose with a blood glucose level of 90 mg/dl for lower back and right buttock pain. The fusion sagittal (a), transverse (b), and maximum intensity projection (f) images showing an increased fluorodeoxyglucose uptake of the L4 spine with a maximum standardized uptake value (SUVmax) of 3.2, which suggest a primary malignancy of vertebra. Enhanced computed tomography (c-e) and magnetic resonance imaging (d) images show an T1 iso to slight high signal intensity mass with irregular osteolytic lesion in vertebral body, both pedicle, transverse, and spinous process of L4 with bony cortical expansion and destruction