Teaching Points
- A skeletal survey with plain radiographs is the initial imaging modality of choice.
- Multidetector CT has the advantage of superior sensitivity for the detection of bone lesions and has a much more rapid acquisition time.
- MRI is also highly sensitive but is generally reserved for symptomatic patients with negative skeletal surveys.
- Current guidelines suggest that nuclear medicine scans such as Sestamibi and FDG PET should not be routinely used in diagnosis but may be useful to clarify previous imaging findings in selected cases.
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