Paget disease

Discussion:

Typical appearances and site for Paget disease of the bone with the pelvic brim sign. It is frequently an incidental finding. 

With all radiographs:

  • assess the whole film, even the bits not related to the clinical query
  • satisfaction of search is called so for a reason
  • you never know when your report might help; for example, in this case, five years later when a bone scan is undertaken for prostate carcinoma and a hot right hemipelvis is observed. This AXR provides proof that it is not a metastasis
  • this could be a rapid reporting film in FRCR, a good way of checking a candidate's diligence
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