Mickey Mouse sign in Paget Disease

Case contributed by Jonathan Minkin
Diagnosis almost certain

Presentation

Chronic back pain

Patient Data

Age: 60 years
Gender: Female

Tc-99 MDP bone scintigraphy

Nuclear medicine

Increased activity of a lower thoracic vertebrae. The anterior and posterior elements are involved leading to a characteristic "Mickey-Mouse" appearance. This finding is specific for a lesion of Paget disease.

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