Bone scan of 23 August 2004 Done with technicium-99 tracer [Excerpted] Impression: No definite abnormal uptake of the cervical spine to suggest skeletal metastases. Consider PET for further evaluation if clinically indicated. Scattered areas of arthritic changes. Notes: L4-5 arthritis evident; also in shoulders. The erosion at C5/6 seen in prior CT may represent skeletal metastases, which may not be reflected in this bone scan. Next step would be PET scan, if indicated. The kidneys are functioning.