From the case:
Osteopoikilosis
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Multiple small well defined sclerotic foci (bone islands) centered about the joints and epiphyses.
From the case:
Osteopoikilosis
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Multiple small well defined foci of low signal intensity in distal tibia epiphysis and talus.
From the case:
Osteopoikilosis
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Lack of uptake on bone scan.
Case Discussion
Lack of uptake in bone scan is helpful if rarely sclerotic bony metastasis is considered amongst differentials.