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What's the Diagnosis? Case 4, Slide 5

Findings

  • Radiographs: Sclerosis of the thoracolumbar junction and coarse, thickened trabeculae of the right innominate bone.
  • Bone Scan: Multiple areas of increased radiotracer uptake involving the right hemipelvis, left femur (extending to the end of the bone), and thoracolumbar junction.
  • Computed tomography: Cortical thickening, expanded bone, and coarse trabeculae on 8/14/02.  Bony destruction and a soft tissue mass on the corresponding images of 1/2005.

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