A 70yearold woman complains of increasing low back and upper sacral pain A technetium bone scan was obtained Fig 134 What is the diagnosis

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The scan shows increased radionuclide activity above the bladder in the sacral area in a H-shaped pattern (Honda sign). Bilateral increased radionuclide uptake in the sacral ala in association with a transverse region of increased radionuclide activity is typical of a sacral insufficiency fracture, most commonly due to osteoporosis.

Figure 13-3. Technetium bone scan demon- Figure 13-4. Increased radionuclide uptake in strates acute two-level osteoporotic compression an H-shaped pattern (Honda sign) in the sacrum fractures. is consistent with an insufficiency fracture.

Figure 13-3. Technetium bone scan demon- Figure 13-4. Increased radionuclide uptake in strates acute two-level osteoporotic compression an H-shaped pattern (Honda sign) in the sacrum fractures. is consistent with an insufficiency fracture.

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