Diffuse expansion of the maxillary and mandibular bones showing cortical thinning, dense trabeculae, and serpiginous lucencies/tunnels (feline stripes) within the bone marrow. Also a focal asymmetric right hard palatal bone swelling showing the zonal pattern with alternating hypodense and hyperdense rings
Other features of renal osteodystrophy include:
- diffuse calvarial thickening with widened diploic space, cortical resorption, and salt and pepper appearance
- vertebral osteomalacia with multiple osteolytic lesions
- erosive changes of both temporomandibular joints
The 3D surface rendered images show widening of the nares, flattened nasal bridge, and widened interdental spacing.