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Osseous and Central Nervous System Sarcoidosis: Scintigraphic and Radiographic Findings

Department of Nuclear Medicine and Rheumatology Division, Department of Internal Medicine, Washington Hospital Center, Washington, D.C.

Correspondence: For correspondence or reprints contact: Diane C. Sweeney, MD, Department of Nuclear Medicine, BB43, Washington Hospital Center, 110 Irving Street N.W., Washington, D.C. 20010.

ABSTRACT

We present a case of painful osseous sarcoid involving the tibiae bilaterally. Lesions were initially found on plain radiographs and on a ^99mTc-MDP bone scan. The patient was also found to have CNS involvement of sarcoidosis in the form of diabetes insipidus and panhypopituitarism. CNS lesions were demonstrated on CT and MR images.

Key Words: radionuclide imaging • sarcoidosis • panhypopituitarism • technetium-99m-MDP • bone scanning

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