From the case:
Acromegaly
Modality:
X-ray
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metacarpal hooks
Case Discussion:
Acromegaly
AP radiograph of the hand shows ungal tufting, widening of the bases of distal phalanges, metacarpal osteophytes on radial aspect (metacarpal hooks) and soft tissue hypertrophy.
Lateral radiograph of skull reveals enlarged sella with double flooring, thickened skull vault, pneumosinus dilatans and prognathism.
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