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We used virtual navigator real-time ultrasound (US) fusion imaging with
F-fluorodeoxyglucose positron emission tomography/computed tomography (
F-FDG PET/CT) to identify a lesion that could not be detected on the US alone in a preoperative breast cancer patient. Of the patient's two lesions of breast cancer, the calcified lesion could not be identified by US alone. By fusing US with
F-FDG PET/CT, which had been performed in advance, the location of the lesion could be estimated and marked, which benefited planning an appropriate surgery. The fusion of US and
F-FDG PET/CT was a simple and noninvasive method for identifying the lesions detected by
F-FDG PET/CT.