FIGURE 1. Anterior (left) and posterior (right) whole-body scintigraphy of patient 1. (A) Correlating bone scintigraphy shows multiple sites of pathologic uptake (arrow). (B) Baseline Z-123I-MIVE scintigraphy shows multiple sites of pathologic uptake (arrow) in axial skeleton, skull, and left pleura. (C) Z-123I-MIVE scintigraphy 4 wk after starting tamoxifen shows complete blocking of pathologic uptake in lesions visible on baseline scintigraphy. Thyroid uptake (C) is due to suboptimal blocking of free 123I uptake. Masking of intestinal and hepatic activity was done by computer processing after acquisition.