The patient had a history of chronic renal disease.

Osteomalacia is bone softening due to insufficient mineralization of the osteoid secondary to any process that results in vitamin D deficiency or defects in phosphate metabolism.

Radiographic features (musculoskeletal)

There can be variable appearances dependant on the cause :

• diffuse demineralization: osteoporotic-like pattern

• coarsened trabeculae 

• insufficiency fractures

• pseudofractures (Looser zones)

• articular manifestations (uncommon)

  • protrusio acetabuli

  • rheumatoid arthritis-like changes

  • osteogenic synovitis

  • ankylosing spondylitis-like changes