A case of a 43-year-old man suffering from pleural mesothelioma with distan
t bone metastasis is reported. The results of bone scintigraphy and NMR fin
dings allowed the diagnosis. The current case describes a hematogenous meta
stasis to the pelvis and vertebral column from a malignant pleural mesothel
ioma that was detected initially by bone scintigraphy.