Findings

Tc-99m MDP Bone Scintigraphy:

There is intense uptake of radiotracer throughout one entire T11 vertebral body. Additional note is made of a serpiginous fairly well circumscribed lesion of the right parietal bone.

Radiographs:

The T11 vertebral body is sclerotic, with coarse thickened trabeculae. Overall vertebral size is increased. Disc spaces are normal. The findings are compatible with Paget's disease; however, the appearance may be similar in metastatic prostate cancer, hemangioma, and Hodgkin's disease. There is a large, sharply demarcated low-density lesion in the right parietal region diagnostic for osteoporosis circumscripta (arrows). Both lesions correspond to the scintigraphic abnormalities.

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J. Anthony Parker, MD PhD, jap@nucmed.bih.harvard.edu