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University of Missouri-Columbia and the Harry S. Truman Memorial Veterans Hospital, Columbia, Missouri
Correspondence: For reprints contact: Richard A. Holmes, Nuclear Medicine Service, Harry S. Truman Memorial Veterans Hospital, 800 Stadium Road, Columbia, MO 65201.
ABSTRACT
A patient with a rapidly fatal case of acute myelofibrosis had a radioindium bone-marrow image that unexpectedly showed a normal pattern of distribution, unlike the more typical forms of chronic myelofibrosis or agnogenic myeloid metaplasia. The rapid progression of the disease and the unique handling of radioindium by the reticuloendothelial system may explain the discordant findings.
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