All that illuminates on radionuclide imaging is not a metastatic lesion: Role of complementary imaging

Radionuclide imaging is a non-invasive modality based on tracer physiology widely utilized in the diagnosis, staging, therapeutic evaluation, and monitoring of metastatic disease spectrum malignancies. Calcific tendinopathy well-recognized disorder related to deposition calcium hydroxyapatite crystals within tendons. We describe patient with urothelial carcinoma bladder revealing increased uptake at left hip 99m Tc labeled methylene diphosphonate scintigraphy suggesting lesion. Cross-sectional magnetic resonance confirmed accurate diagnosis calcific gluteus maximus insertion. This case report highlights importance thorough clinical evaluation complementary assessing benign pathologies which may mimic bone lesions.