Paget disease: skull

Case contributed by A.Prof Frank Gaillard

Presentation

Assessment of acute hemiparesis.

Patient Data

Age: 90 years
Gender: Male
Modality: X-ray

Marked thickening of the calvarium. The diploic space is widened and there are ill-defined sclerotic and lucent areas throughout. The cortex is thickened and irregular.

Case Discussion

This is an incidental finding. The findings probably correspond to the “cotton wool spots” seen on plain films in the later stages of Paget disease.

Image courtesy of Dr Laughlin Dawes.

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Case Information

rID: 7477
Case created: 3rd Nov 2009
Last edited: 4th Dec 2015
Inclusion in quiz mode: Included

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