Presentation
Shortness of breath and chest pain
Patient Data
Age: 80 years
Gender: Female
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Normal chest
Subsequent admission with further exacerbation of COPD.
From the case:
Paget disease - scapula
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Normal cardiomediastinal contours. Normal lungs and pleural spaces. Thickening of the right glenoid cortex.
Another admission with an exacerbation of COPD.
From the case:
Paget disease - scapula
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Normal mediastinum and lungs. Expansion and cortical thickening of the right represents Paget disease of the 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 it was isolated to one bone: monostotic Paget disease.
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