Location

Pelvis

Diagnosis

Paget’s disease

Discussion

AP radiographs of the pelvis with changes characteristic of Paget’s disease throughout the right hemipelvis. Notice the thickening of the right pelvic brim (ileopectineal line) as compared to the left. Thickening of the pelvic brim, or arcuate line (ileopectineal line), seen in patients with Paget’s disease. The ridge of bone around the pelvic brim, when osteoblastic reaction occurs, adds to the normal sclerotic density of this area. This is a useful sign in distinguishing Paget’s disease changes from metastatic disease.

Reference

Marshal TR, Ling JT: The brim sign: A new sign found in Paget’s disease (osteatis deformans) of the pelvis. AJR Am J Roentgenol 1963, 90:1267-1270.

Figures

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Attachments:


pelvisbrimpaget2.jpg (image/jpeg)


pelvisbrimpaget.jpg (image/jpeg)