Fig. 66.1
Paget’s disease of the skull. Radiographic features presenting large ill-defined lytic area with cotton-wool-like opacities
Fig. 66.2
Paget’s disease of the mandible with typical periapical dentinal hyperplasia
Fig. 66.3
(a, b) Paget’s disease of the vertebra. Anteroposterior and lateral X-rays show enlargement of the vertebral body with coarsening of the trabecular pattern and sclerotic margins, with the typical “picture frame” pattern
Fig. 66.4
Paget’s disease involving the left pelvis with expansion of the bone
Fig. 66.5
Radiograph showing Paget’s disease of the diaphyso-metaphyseal femur, with increased thickening of the cortex and medullary bone
Fig. 66.6
(a, b) Anteroposterior and lateral radiographs: Paget’s disease of the distal femur. (c) MRI: Different trabeculation as compared to the non-affected bone of the tibia
Fig. 66.7
Paget’s disease. (a, b) X-ray and (c) MRI of the patella
Fig. 66.8
(a, b) Extensive Paget’s disease involving the tibia, with anterior bowing deformity and coarse trabecular pattern; there is lack of the corticomedullary demarcation, complicated with transverse fracture
Fig. 66.9
(a, b) Paget’s disease. Well-defined radiolucent defect in the tibia and proximal and distal margins showing a flame-shaped pattern
Fig. 66.10
(a) Lateral X-ray with Paget’s disease of the tibia. It is possible to appreciate some bowing; (b) High uptake of Tc99 in old stage lesion
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