Paget disease of the pelvis

Case contributed by Dr Salman S. Albakheet

Presentation

Patient complains of chronic right hip pain.

Patient Data

Age: 65 years
Gender: Male
X-ray

Cortical thickening and sclerosis of the right iliopectineal line. Increased bone density and coarsening of trabeculae of the right hemipelvis.

Nuclear medicine

Intense uptake in the right hemipelvis.

Case Discussion

The earliest manifestation of pelvic bone Paget disease is thickening of iliopectineal line.

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