Presentation
Patient with Paget disease and diabetes mellitus on follow-up
Patient Data
Age: 80 years
Gender: Female
From the case:
Paget disease of the skull


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Increase in the diploid space, with an "insufflation" aspect in the entire skullcap.
Case Discussion
Paget disease of the skull in a patient with a confirmed diagnosis. Although at first glance this may be thought to represent the Tam o' Shanter sign, it is not as it lacks the platybasia and basilar invagination that is needed for this sign to be present.