Location

Multiple

Diagnosis

Paget’s disease

Discussion

Paget’s disease has three distinct phases visible radiographically: a lytic phase, a sclerotic phase, and a mixed lytic-sclerotic phase. When involvement of the lytic phase is present in a long bone, the lytic changes may advance as a V- or wedge-shaped radiolucent area, clearly demarcated from the adjacent bone. This has been likened to a blade of grass.

Reference

Schubert F, Siddle KJ, Harper JS: Diaphyseal Paget’s disease: an unusual finding in the tibia. Clin Radiol 1984 Jan;35(1):71-4.

Cooper KL: Radiology of metabolic bone disease. Endocrinol Metab Clin North Am 1989 Dec;18(4):955-76 .

Figures

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Attachments:


hipbladeofgrass.jpg (image/jpeg)