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A 55 years-old patient was treated in 2007 with left mastectomy, chemotherapy and hormonal therapy for breast cancer, achieving complete response. Three years later, hepatic recurrence was detected and a planar 99Tc-MDP bone scintigraphy was performed to restage the disease and assess the presence of bone metastases. Bone scan planar images showed two focal uptakes in correspondence of the skull in left frontal region and at the right hipbone (Figure 1a, red arrows). To better characterize the morphological features of these findings, tomographic acquisitions at hips and skull level were subsequently performed.
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