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Figure 10.4

Figure 10.4

A 3-year-old with widespread neuroblastoma at presentation.Alternating panels of MIBG scan and bone scan.Foci of disease are much better delineated on the MIBG scan. Top row are anterior views, bottom row are posterior views.The MIBG scan shows extensive skeletal involvement: there is abnormal uptake in both shoulders (arrows, panels 1 and 2), both wrists (panels 3 and 4), the proximal femurs (panels 3 and 4), the distal right femurs (panels 5 and 6), both knees (panels 5 and6), and ankles (panel5). Ankles are seen on MIBG views only. A large left abdominal mass is seen on MIBG images (panel 3)

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