Findings of bone scan include increased uptake in:
1. temporomandibular joints
2. acromioclavicular joints
3. sternoclavicular joints
4. sternomanubrial joint
5. right ankle
6. hips
7. sacroiliac joints
Differential: denegerative versus inflammatory change

Also, findings include:
1. increased uptake lateral rib (8)
Differential: subacute rib facture (no fracture seen in CT one year prior and no injuries or falls during this period) versus bone bruise versus focal bony lesion

What are the inflammatory implications? degenerative?
Does a focal bony lesion combined with potential inflammatory process equal possible cancer?

What should be the next step to make an official diagnosis?