Patient with end stage renal disease complains from generalized bone ache.
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Evidence of demineralization and osteopenia manifested as thinning of cortices and trabeculae. Relatively sclerosed superior and inferior vertebral end plates of visualized vertebrae (like a rugger jersey spine). A well defined lucent lytic lesion is seen within the right aspect of symphysis may attributed to osseous changes in chronic renal failure owing to secondary hyperparathyroidism. The small lytic lesion is considered as brown tumor.Atheromatous calcification of the aorta and its main branches. Previous cholecystectomy.