Maseeh Zaman - Department of Radiology, Aga Khan University Hospital (AKUH), Karachi, Pakistan
Nosheen Fatima - Department of Nuclear Medicine, Dr Ziauddin Medical University,Karachi, Pakistan
Unaiza Zaman - Dow University of Health Sciences (DUHS), Karachi, Pakistan
Areeba Zaman - Dow University of Health Sciences (DUHS), Karachi, Pakistan

Multifocal avascular osteonecrosis is an uncommon entity having a predominant association with steroids and less commonly with alcohol abuse. In literature only few cases of alcohol induced multifocal avascular osteonecrosis involving both hips and shoulder are reported. To the best of our understanding this is the first case report or contribution from nuclear medicine court and it would help the nuclear physicians to mull about this entity in alcoholics presented with assumed polyarthritis .

Avascular osteonecrosis, Multifocal, Alcohol, Bone scan, Polyarthritis