Paget disease

Case contributed by Chris O'Donnell
Diagnosis certain


Incidental finding at MRI lumbar spine for low back pain.

Patient Data

Age: 80 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


Markedly expanded left ilium with a bizarre signal intensity pattern.


Anterior radiograph of the pelvis confirms suspicion of Paget disease in left ilium and right upper femur i.e. expansion of bone with sclerosis and coarsening of trabecular pattern.

Case Discussion

The case demonstrates how plain radiographs can be of value in case of "bizzare" looking MRI skeletal findings. 

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