Aseptic Loosening. (A,B) Frontal radiograph of the knee shows lucency (black arrow) along the superolateral aspect of the femoral component of a total knee arthroplasty. (C) Planar image from a Tc-99m MDP bone scintigraphy shows increased uptake in the superolateral aspect of the femoral component. (D) SPECT/CT fusion shows that the focus of increased uptake corresponds to the area of lucency seen on radiographs. (Images used with permission of Dr Susanna C. Spence, The University of Texas Medical School at Houston, Houston, Texas.) Source: Musculoskeletal, Introduction to Diagnostic Radiology Citation: Elsayes KM, Oldham SA. Introduction to Diagnostic Radiology; 2015 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1562/elsayes_ch07_fig-c20-02.png&sec=95878977&BookID=1562&ChapterSecID=95878512&imagename= Accessed: October 22, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved