Fig. 2From: SPECT/CT bone scintigraphy to evaluate low back pain in young athletes: common and uncommon etiologiesPedicle stress reaction in an 18-year-old male wrestler complaining of left-sided back pain. Incidental finding of a small old avulsion fracture of the right sacral ala at the joint capsule insertion a Axial fused SPECT/CT image shows mildly increased uptake at the left L4 pedicle, which on axial CT image (c) is associated with sclerosis in the left pedicle region. b Fused SPECT/CT axial image of the sacrum shows minimal uptake associated with a small avulsion fracture at the right sacral ala on axial CT image (d)Back to article page