Fig. 2

These images represent a 68-year-old man who developed a fever and increased inflammatory markers after treatment for leg trauma, with dyslipidemia, stable angina, and atherosclerosis obliterans as comorbidities. a shows Ga-scintigraphy, whole-body, planar images indicating a defect in the left toes with no clear signs of accumulation. b shows CT images indicating a resection of the left toes and cellulitis near the left 4th distal phalanx with irregular bone destruction, and increased attenuation lesions in the subcutaneous soft tissue. c shows fused SPECT/CT images indicating distinct accumulation in the left 4th distal metatarsal and proximal phalanx with low LBR (5.40), SUVmax (3.25), and TLU (35.02). Recovery from fever and inflammation was smooth, not requiring surgical treatment, but localized pain remained for a few months. The clinical diagnoses of CE and LLOM were established by the primary physicians according to the clinical progress and outcomes. This patient had no MAE within the 3-year observation period