Radiographs of b/l hands with wrist joints, Pelvis with b/l hip joints including proximal femurs and b/l legs were taken.
There is bony expansion, remodelling and ground glass matrix involving b/l second metacarpal bones.
Femoral neck deformity, widening and altered neck angles are seen on pelvis radiograph. Bilateral proximal femurs and bony pelvis shows ground glass bony matrix, remodelling and bowing of b/l femurs giving characteristic Shepherd's crook deformity.
Legs radiographs shows ground glass bony matrix and bowing involving bilateral tibia and fibula.