Paget disease: scapula

Case contributed by Dr Jeremy Jones

Presentation

Shortness of breath and chest pain.

Patient Data

Age: 78
Gender: Female
X-ray

Admission film

.

Subsequent admission with further exacerbation of COPD.

Another admission with an exacerbation of COPD.

X-ray

Admission film

Normal cardiomediastinal contours. Normal lungs and pleural spaces. Thickening of the glenoid cortex.

X-ray

Admission film

Normal mediastinum and lungs. Expansion and cortical thickening of the right scapula.

Case Discussion

These three radiographs over a period of a year demonstrate progressive increase in the density and size of the right scapula. Bone scan confirmed that is was isolated to the one bone: mono-ostotic Paget's disease.

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Case information

rID: 14830
Case created: 30th Aug 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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