A 64-year-old postmenopausal woman presented with low back pain and no trauma history to the outpatient clinic. The woman suffered back pain for the past five years and, on the investigation, was found to have a head circumference of 68 cm (macrocephaly) with moderate hearing loss in both ears. Systemic analysis was standard, and she had no bone tenderness. The rest of the examinations were unremarkable.
Her X-ray showed characteristic sclerotic and lytic lesions in the skull and pelvic bones, as shown in the figure. In addition, a technetium pyrophosphate bone scan showed an intense increase in tracer uptake in the head, right shoulder, L4, S1 vertebra, left pelvic bone and right acetabulum, as shown in the figure.
Like
Answers
Save
Share