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Paget disease of the pelvis

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Fall. Fractured hip?

Patient Data

Age: 70 years
Gender: Male
x-ray

Thickening, sclerosis and increased trabeculation of the whole of the left hemipelvis, including the iliopectineal and ischiopubic lines.

The right hemipelvis is normal in appearance.

Case Discussion

The pelvis is one of the typical locations for Paget disease of the bone. It is classically unilateral.

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