Case One
Images:

Selected images are shown below. Click to enlarge.
 

AP Skull View

Lateral Skull View
 

Skull CT
Case Summary

Diagnosis:  Paget's Disease of the Skull

Clinical hints:

Most commonly seen in elderly males. Pelvis and longbones typically involved. Backpain, arthritis and fractures common. Small risk of osteogenic sarcoma.


Radiological Pearls:
  • Osteoporosis circumscripta: early
     
  • Blastic "cotton ball" phase: late
     
  • Basilar invagination can occur
     
  • Skull base compression: rare

Films were kindly provided by Dr. K. Terbroog.

 

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