Presentation
Patient under evaluation for bilateral hip pain
Patient Data
Multiple small sclerotic bone islands of varying sizes are noted in the hip bones and the head, neck and proximal metaphysis of both femurs.
Multiple small sclerotic bone islands of varying sizes are noted in the hip bones and the head, neck and proximal metaphysis of both femurs which appear hypointense on T1 images.
Case Discussion
Osteopoikilosis is a sclerosing bone dysplasia characterized by multiple bone islands. Bone islands develop during childhood and are asymptomatic.
Bone islands are mainly distributed around the joints mostly parallel to bony trabeculae. The appendicular skeleton and pelvis are mostly affected with sparing of the axial skeleton.
On bone scintigraphy, no uptake is found.
Osteopoikilosis is one of the skeletal "do not touch" lesions.
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