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Case report


Honda Sign On 18-FDG PET/CT in a Case of Lymphoma Leading to Incidental Detection of Sacral Insufficiency Fracture

Prathamesh JoshiVikram LeleRozil GandhiAnil Parab
Departments of Nuclear Medicine and PET-CT and 1Radiology, Jaslok Hospital and Research Centre, Mumbai, India
Date of Submission: 21-Mar-2012, Date of Acceptance: 10-Apr-2012, Date of Web Publication: 23-May-2012.
Corresponding Author:
Corresponding Author

Prathamesh Joshi

E-mail: drprathamj@gmail.com

Corresponding Author:
Corresponding Author

Prathamesh Joshi

E-mail: drprathamj@gmail.com

DOI: 10.4103/2156-7514.96544 Facebook Twitter Google Linkedin

ABSTRACT


Sacral insufficiency fracture (SIF) is an important and treatable cause of low back pain in at-risk groups and the elderly. We report rare demonstration of 'Honda sign' in fluoro-deoxy-glucose positron emission tomography-computed tomography (FDG PET-CT) in a case of lymphoma, which led to incidental diagnosis of SIF. Honda sign, which is classically described in bone scans in cases of SIF, was found in FDG PET-CT in our case. This suggests SIF should be suspected when similar FDG uptake pattern is encountered and may help in early detection and management of SIF.
Keywords: Bone Scan, Fluorodeoxyglucose, Honda Sign, Positron Emission Tomography-computed Tomography, Sacral Insufficiency Fracture

Cited in 2 Documents

  1. George R. Matcuk, Scott R. Mahanty, Matthew R. Skalski, Dakshesh B. Patel, Eric A. White and Christopher J. Gottsegen (2016) Stress fractures: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol 23(4):365. doi: 10.1007/s10140-016-1390-5
  2. Julien Dubreuil, Gilles Salles, Juliette Bozzetto, Jeremie Tordo, Loïc Djaïleb, Alina Berriolo-Riedinger, Julien Leenhardt, Francesco Giammarile, Michel Meignan and Andrea Skanjeti (2017) Usual and unusual pitfalls of 18F-FDG-PET/CT in lymphoma after treatment. Nuclear Medicine Communications 38(7):563. doi: 10.1097/MNM.0000000000000697

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