Paget disease of the bone: a triad of forms

Case contributed by Dr Ian Bickle

Presentation

Illustration purposes from three different cases.

a. Sclerotic expansile scapula.

b. Diffuse sclerotic fluffy lesions like cotton wool

c. Diaphyseal lucent lesion like a blade of grass. 

Case Discussion

Three forms of one disease - Paget disease of the bone.

a.  Classical appearances in an unusual location in the scapula.

Original case:  http://radiopaedia.org/cases/paget-disease-of-the-scapula

b.  Cotton wool appearances of the skull.

Original case:  http://radiopaedia.org/cases/paget-disease-cotton-wool-skull

c. Blade of grass appearance of acute Paget disease.

http://radiopaedia.org/cases/paget-disease-with-blade-of-grass-sign

Cases from Frank Gaillard, Ian Bickle and Andrew Dixon.

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