Case contributed by Paresh K Desai
Diagnosis almost certain

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.

Case Discussion

Acromegaly is the result of excessive growth hormone (GH) production in skeletally mature patients, most commonly from an adenoma of the pituitary.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.