Nuclear Medicine | Hybrid Imaging Board Certified Nuclear Cardiology, CBNC Board Certified Cardiovascular CT, CBCCT Board Certified NM, FEBNM #MedSky #RadSky #NucMedhttps://bsky.app/profile/nuclidenotes.bsky.socialhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3myuriktkrk2s☢️ SPECT/CT: Multicystic subchondral lesion of the left talus with surrounding sclerosis and focal cortical defects, showing intense perfusion and delayed tracer uptake. Additional smaller superomedial cystic lesion with increased delayed uptake. ✅ Diagnosis: Osteochondral lesion of the talus.27 Oct 2026 17:34 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3myuriktkrk2shttps://bsky.app/profile/nuclidenotes.bsky.social/post/3mysdurqrxk23☢️ FDG PET/CT: Extensive tibial stem and medial tray interface osteolysis with minimal FDG uptake, associated with intense FDG-avid hypertrophic synovitis (SUVmax 6.4), septations and dystrophic calcifications. ✅ Diagnosis: TKR particle wear disease with probable aseptic loosening.26 Oct 2026 18:25 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3mysdurqrxk23https://bsky.app/profile/nuclidenotes.bsky.social/post/3lrhxrdhm7c2u☢️ SPECT/CT: Intense uptake in osteosclerosis and involucrum. Lucent tracts extending to defects with the involucrum = cloacae. Cold, dense fragment within cystic cavities = sequestrum. ✅ Final diagnosis: Chronic osteomyelitis. #NucMed #RadSky #MedSky13 Jun 2025 07:59 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lrhxrdhm7c2uhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lphqhw6c2k2d☢️ SPECT/CT MPI: Irreversible, large sized (4 segments) perfusion abnormality of moderate intensity located in the inferior and inferolateral walls. ✅ Diagnosis: Non transmural MI. #MedSky #RadSky #NucMed18 May 2025 18:59 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lphqhw6c2k2dhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lotdo5q2u22i☢️ SPECT/CT: diffuse perfusion and delayed tracer uptake in acetabular zones (I, II, III) osteolysis, subcortical sclerosis, periosteal reaction. ✅ Diagnosis: septic loosening of acetabular component. #MedSky #NucMed #RadSky10 May 2025 16:16 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lotdo5q2u22ihttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lnisppsjms2j☢️ Pituitary focal FDG uptake: ✅ Adenoma ✅ Autoimmune hypophesitis ✅ Metastases #NucMed #RadSky #MedSky23 Apr 2025 18:21 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lnisppsjms2jhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3ln4agbr5us2b☢️ FDG PET/CT: irregular retroareolar soft tissue mass of intense FDG uptake and spiculated margins, typical appearance of IDCa. ✅ Diagnosis: IDCa (NOS) ER+, PR+, HER2- (Luminal A). #NucMed #MedSky #RadSky18 Apr 2025 18:22 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3ln4agbr5us2bhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3ln3bigfwck2q☢️ SPECT/CT: well defined ovoid subperiosteal lesion along the lateral cortex of the right 2nd MC diaphysis. cortical mild tracer uptake suggestive of active regional bone remodeling. ✅ Diagnosis: Periosteal chondroma. #NucMed #RadSky #MedSky18 Apr 2025 09:08 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3ln3bigfwck2qhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3ldi54trkds2x☢️ FDG PET/CT: left lung subpleural oval shaped mass like consolidation without significant FDG uptake with indwelling of pulmonary vasculature. ✅ Diagnosis: Rounded atelectasis. #MedSky #RadSky #NucMed17 Dec 2024 05:43 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3ldi54trkds2xhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lcexmkvckk26☢️ SPECT/CT: intense uptake in acetabular roof fracture with callus formation, and greater trochanteric (Vancouver type A) fracture. ✅ Diagnosis: Periprosthetic acetabular and greater trochanteric fractures. #MedSky #RadSky #Nucmed03 Dec 2024 06:01 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lcexmkvckk26https://bsky.app/profile/nuclidenotes.bsky.social/post/3lc3xxtm6wk2i☢️ PET/CT scan shows a rounded tubular structure adjacent to the aortic arch coursing inferiorly anterior to the left hilum draining into the coronary sinus. ✅ Persistent left SVC. #RadSky #MedSky #Nucmed29 Nov 2024 16:13 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lc3xxtm6wk2ihttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lbvugqte6k2o🚨 Join me tomorrow for an exciting online session! 🚨 bcv.app/talks 🎯 Topic: The Role of Nuclear Medicine SPECT/CT in MSK Problems We’ll explore how SPECT/CT revolutionizes MSK imaging by offering precise diagnoses and improving patient outcomes #RadSky #MedSky #NucMedSky27 Nov 2024 05:54 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lbvugqte6k2ohttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lbrwdbuc7s2n64-year-old female with history of right hip hemiarthroplasty and right hip pain. #MedSky #RadSky #NucMedSky https://public.berlincaseviewer.com/WebApp/Key/H35MF16KA14Q7JW37Z412EO3470Y8A25 Nov 2024 16:17 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lbrwdbuc7s2nhttps://bsky.app/profile/nuclidenotes.bsky.social/post/3lbofvozpvm2zA 32-year-old patient underwent FDG PET/CT, showing a well-defined mass in the right anterior mediastinum with intense FDG uptake (SUVmax= 8.5), smooth lobulated margins, and internal low-density necrotic regions. There was no vascular invasion, and mediastinal planes were intact. #medsky #radsky24 Nov 2024 06:45 +0000at://did:plc:xvsxzelgsdlswewabyfku2a3/app.bsky.feed.post/3lbofvozpvm2z