Diagnosis of Bone Marrow Edema Associated with Metastases from SCLC using Dual Energy CT

Moritz Kaup, MD; Julian L. Wichmann, MD; Thomas J. Vogl, MD, and Ralf W. Bauer, MD
Department of Diagnostic and Interventional Radiology, Goethe University, Frankfurt, Germany

A 73-year-old male patient, with palliatively treated small cell lung cancer of the right lung, presented for an oncological re-staging CT. To date, there were no known bone metastases. The patient had a history of chronic back pain with slight aggravation during the weeks prior to the planned CT scan. The clinical examination revealed slightly diffuse pain over the middle thoracic spine with no neurological deficits.