Multifocal post-traumatic scintigraphic changes mimicking bone metastases in a battered adult

Several pathologies have been reported to cause scintigraphic patterns similar to multiple bony metastases. Heterotopic bone formation is known to mimic several inflammatory and neoplastic conditions including recurrent tumors. However, no reports on multifocal heterotopic bone formation simulating the typical pattern of randomly distributed foci of increased uptake of metastases on bone scan were found in literature. We present a case of a young adult who was repeatedly assaulted by others over a period of one month and on bone scan had a pattern similar to bony metastasis due to multiple foci of heterotopic bone formation and fractures.