I also went for an xray a couple of years after treatment. I had a compression fraction of the T12....but...because I had a history of breast cancer, they looked at my arthritis, decided I MUST have mets and suggested a bone scan....it came back inconclusive....so on to the MRI (inconclusive) and a CT (inconclusive). It took a PET to convince everyone I did not have mets.
There are two answers, depending on the nature of the bone island. An indolent bone island will show no increase uptake of the tracer. So if your bone scan is negative, then it is likely a bone island. If the bone island is growing, it can take up the tracer. A positive bone scan will not be very helpful to differentiate whether or not it is a malignancy.