Case library
Work through a patient from referral to report. Each case shows the scans in the order you would see them and asks the question you would have to answer at that point, then explains the reasoning. All images are simulated.
40 cases
Neck lumps and night sweats in a 26-year-old
Oncology · FDG · Beginner
Postcoital bleeding in a 44-year-old
Oncology · FDG · Beginner
Melanoma on combination immunotherapy
Oncology · FDG · Intermediate
Paraprotein and low back pain in a 62-year-old
Oncology · FDG · Intermediate
Right upper lobe mass in a 64-year-old smoker
Oncology · FDG · Advanced
Rising PSA two years after prostatectomy
Oncology · PSMA · Advanced
Thyrotoxicosis and a neck lump in a 34-year-old
Theranostics · Pertechnetate and ¹³¹I · Beginner
Flushing, diarrhoea and liver lesions
Theranostics · DOTATATE · Intermediate
Chest uptake after thyroid remnant ablation
Theranostics · ¹³¹I and FDG · Intermediate
Progressing prostate cancer after docetaxel
Theranostics · PSMA and FDG · Advanced
Slowness and falls in a 66-year-old taking risperidone
Neurology · ¹²³I-FP-CIT, ¹⁸F-FDG · Intermediate
Focal seizures despite three medicines in a 29-year-old
Neurology · ¹⁸F-FDG, ⁹⁹ᵐTc-HMPAO · Intermediate
Two years of forgetfulness in a 71-year-old teacher
Neurology · ¹⁸F-FDG, ¹⁸F-florbetapir · Advanced
Chest tightness walking uphill in a 63-year-old man
Cardiology · ⁹⁹ᵐTc-tetrofosmin · Beginner
Atypical chest pain in a 58-year-old man with a BMI of 36
Cardiology · ⁹⁹ᵐTc-tetrofosmin · Beginner
Breathlessness and a thick heart in a 79-year-old man
Cardiology · ⁹⁹ᵐTc-DPD · Intermediate
Complete heart block in a 46-year-old woman
Cardiology · ¹⁸F-FDG, ⁹⁹ᵐTc-tetrofosmin · Advanced
Central left lung tumour in a 67-year-old ex-smoker
Lung · ⁹⁹ᵐTc-MAA · Beginner
Pleuritic pain after a long-haul flight in a 54-year-old
Lung · ⁹⁹ᵐTc-MAA, ⁹⁹ᵐTc-Technegas · Intermediate
Breathlessness at 11 weeks of pregnancy
Lung · ⁹⁹ᵐTc-MAA, ⁹⁹ᵐTc-Technegas · Intermediate
Buttock pain in a 78-year-old woman
Musculoskeletal · ⁹⁹ᵐTc-MDP · Beginner
New bone foci after starting endocrine therapy
Musculoskeletal · ⁹⁹ᵐTc-MDP · Intermediate
A painful hip replacement
Musculoskeletal · ⁹⁹ᵐTc-MDP, ⁹⁹ᵐTc-HMPAO leucocytes, ⁹⁹ᵐTc-colloid · Intermediate
Thyrotoxicosis with a sore neck
Endocrine · ⁹⁹ᵐTc-pertechnetate · Beginner
Hypercalcaemia with a negative sestamibi scan
Endocrine · ⁹⁹ᵐTc-sestamibi, ¹⁸F-fluorocholine · Intermediate
Hypertension and an adrenal mass in a 31-year-old
Endocrine · ⁶⁸Ga-DOTATATE, ¹²³I-MIBG · Advanced
Rising calcitonin after thyroidectomy
Endocrine · ¹⁸F-FDOPA, ¹⁸F-FDG · Advanced
Fever and weight loss in a 71-year-old woman
Infection · ¹⁸F-FDG · Intermediate
Foot ulcer over a Charcot midfoot
Infection · ¹⁸F-FDG, ⁹⁹ᵐTc-HMPAO leucocytes, ⁹⁹ᵐTc-colloid · Intermediate
Fever seven weeks after valve surgery
Infection · ¹⁸F-FDG · Advanced
Antenatal hydronephrosis in a 3-month-old boy
Genitourinary · ⁹⁹ᵐTc-MAG3 · Intermediate · Paediatric
Oliguria two days after a kidney transplant
Genitourinary · ⁹⁹ᵐTc-MAG3 · Intermediate
Incidental 3-cm kidney mass in a 63-year-old man
Genitourinary · ⁹⁹ᵐTc-sestamibi · Advanced
Right upper quadrant pain and fever in a 47-year-old woman
Gastrointestinal · ⁹⁹ᵐTc-mebrofenin · Beginner
Nausea and early satiety in a woman with type 1 diabetes
Gastrointestinal · ⁹⁹ᵐTc-labelled solid meal · Beginner
Recurrent fresh rectal bleeding in a 79-year-old man
Gastrointestinal · ⁹⁹ᵐTc-labelled red blood cells · Intermediate
Febrile urinary infection in an 18-month-old girl
Paediatrics · ⁹⁹ᵐTc-DMSA · Beginner · Paediatric
Painless rectal bleeding in a 3-year-old boy
Paediatrics · ⁹⁹ᵐTc-pertechnetate · Beginner · Paediatric
Abdominal mass and limp in a 3-year-old girl
Paediatrics · ¹²³I-mIBG · Advanced · Paediatric
A 2-year-old who will not bear weight
Paediatrics · ⁹⁹ᵐTc-MDP · Advanced · Paediatric
Want quick-fire images instead? Try the Image Challenge in the question bank.