Mickey Mouse sign in Paget Disease

Case contributed by Jonathan Minkin
Diagnosis almost certain


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.

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.