Polyostotic Paget disease

Case contributed by Dr Marcelo Dalcin

Presentation

Nonspecific pelvic pain.

Patient Data

Age: 72
Gender: Male
Modality: X-ray

Diffuse cortical bone thickening and coarsened trabeculae of the pelvis, proximal femurs and distal lumbar vertebrae, also, there is bowing of the femur diaphysis. In L4 we can see the "picture frame" sign. Additionally, there is severe hip osteoarthritis and the right femoral head is missing due to past ressection, leading to cranial dislocation of the femur.

Case Discussion

Undiagnosed patient. Image findings strongly suggests the diagnosis of polyostotic Paget disease.

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Case Information

rID: 46124
Case created: 22nd Jun 2016
Last edited: 23rd Jun 2016
Inclusion in quiz mode: Included

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