Paget's Disease

Question 1

Paget’s AKA?

Answer 1

Osteitis Deformans

Question 2

Radiologic signs of Pagets:

Answer 2

Sclerosis and lucency
Trabecular and cortical thickening
Bone enlargement
Skull-“cotton wool” appearance. Osteoporosis Circumscripta
Spine- “picture frame” ivory vertebra
Long Bones - subchondral location w/ advancing wedge/“V” shape“blade of grass”/“Candle flame”

Question 3

30% of pts with Pagets involving the skull will show this radiographic complication:

Answer 3

Basilar invagination