Unforeseen COVID-19 on oncologic bone scan with SPECT-CT in a high prevalence area

65 years old female, known diabetic and hypertensive underwent 99mTc-methylene diphosphonate (Tc-99m MDP) bone scan with Single Photon Emission Computed Tomography (SPECT-CT) for shoulder pain. Initially she was treated with breast cancer and later for hepatocellular carcinoma. SPECT-CT showed MDP non avid scattered pulmonary ground glass opacities (GGO) bilaterally along with rounded nodular densities. Another 56 years old newly diagnosed right breast invasive ductal carcinoma had bone scan with SPECT-CT which revealed bilateral pulmonary infiltrates. Both of these patients later tested positive for COVID-19. Therefore, Nuclear Physicians should be watchful of COVID-19 related findings on SPECT-CT thorax as this becomes the new normal for them.