Paget disease

Case contributed by Dr Vikas Shah

Presentation

Raised PSA.

Patient Data

Age: 80 years
Nuclear medicine

Bone scan

Diffuse uptake in expanded left tibia, commences from proximal articular surface. 

No abnormal focal uptake to indicate metastatic disease. Degenerative pattern of uptake in spine, shoulders and left first MTP joint.

X-ray

Left lower leg x-rays

Thickened cortex with coarsened trabeculae involving the left tibia. No fracture. No periosteal reaction or bone destruction.

Case Discussion

There were no specific symptoms localizing to the left tibia. The combination of the x-ray and nuclear imaging findings lead to a diagnosis of Paget disease.

PlayAdd to Share

Case information

rID: 67201
Published: 23rd Mar 2019
Last edited: 23rd Apr 2019
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.