Polyostotic Paget disease

Case contributed by Dr Matt Skalski

Patient Data

Age: 60's
Gender: Male
Modality: X-ray

A coarsened tubercular pattern with cortical thickening, osseous expansion and increased osseous density is observed to involve the bilateral innominate bones and left proximal femur which extends to the distal diaphyseal region. 

Modality: X-ray

A coarsened trabecualar pattern with mild osseous expansion and increased vertebral body density is observed involving L1, L3, and L4. These changes are vaguely reminiscent of the picture frame appearance. 

Modality: X-ray

A coarsened tubercular pattern with cortical thickening, osseous expansion and increased osseous density is observed to involve the proximal right humerus which extends to the mid diaphyseal region. 

Case Discussion

In cases of extensive polyostotic involvement in Paget disease, one should be concerned for high-output cardiac failure and monitor for signs and symptoms of malignant degeneration. 

This case is courtesy of the LAC+USC radiology department

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Case Information

rID: 25126
Case created: 6th Oct 2013
Last edited: 28th May 2016
Inclusion in quiz mode: Included

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