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Young patient with wrist pain.

scan were ordered. The white blood cell scan was negative and the three-phase bone scan is shown below (Fig. 2, 3 and 4, marker indicates the right side). Blood flow and blood pool images showed no significant abnormalities. On delayed images there was a small focus of markedly increased tracer uptake, surrounded by a larger area of increased, but less intense uptake, in the medial portion of the distal end of the left radius. A CT scan (Fig. 5) showed a focal area of sclerosis with radiolucent center in the distal left radius corresponding to the bone scan lesion. The lesion was resected and pathology exam confirmed the diagnosis.