A triple-phase bone scan of the thorax, whole body blood pool images, delayed whole body images with oblique views of the ribs and lateral views of the pelvis obtained. SPECT-CT was not possible because of the metal head and neck brace. On the dynamic and blood pool phase, intense perfusion at T3 and T4 is noted. On the delayed images intense uptake at these vertebral bodies is seen corresponding to the lytic lesion with associated loss of vertebral height on the external CT. Uniform uptake elsewhere through the axial and appendicular skeleton is seen.