Presentation
Raised PSA.
Patient Data
Age: 80 years
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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.
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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.