EURORAD ESR

Case 1166

Calvarial Paget’s disease

Author(s)
O. Kilickesmez , A. Y. Barut , M. Ali Nazli, I. N. Mutlu, H. Ubic,
 
Patient
male, 48 year(s)
 
 
  • Figure 1
    X-rays of case 1166
     

    PA plain radiograph of the cranium reveals marked thickening of the calvarium. Note the well demarcated inner border of the inner table. Cotton wool appearance with patchy sclerosis is observed.

     
    Area of Interest: unknown; Imaging Technique: X-rays of case 1166;

    Lateral plain radiograph of the cranium reveals marked thickening of the calvarium. Note the well demarcated inner border of the inner table. Cotton wool appearance with patchy sclerosis is observed.

     
    Area of Interest: unknown; Imaging Technique: X-rays of case 1166;

    AP radiograph of the pelvis shows diffuse patchy sclerosis of pelvic bones and sacrum

     
    Area of Interest: unknown; Imaging Technique: X-rays of case 1166;
     
     
  • Figure 2
    CT of case 1166

    Axial cranial CT image in bone window reveals widening of diploe space. Inner and outer tables are thickened.

     
    Area of Interest: unknown; Imaging Technique: CT of case 1166;
     
     
  • Figure 3
    MRI of case 1166
     

    Axial T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;

    Axial T2 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;

    Axial PD WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;

    Sagittal T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;

    Coronal T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;

    Coronal T2 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of...

     
    Area of Interest: unknown; Imaging Technique: MRI of case 1166;
     
     
PA plain radiograph of the cranium reveals marked thickening of the calvarium. Note the well demarcated inner border of the inner table. Cotton wool appearance with patchy sclerosis is observed.
 
Lateral plain radiograph of the cranium reveals marked thickening of the calvarium. Note the well demarcated inner border of the inner table. Cotton wool appearance with patchy sclerosis is observed.
 
AP radiograph of the pelvis shows diffuse patchy sclerosis of pelvic bones and sacrum
 
Axial cranial CT image in bone window reveals widening of diploe space. Inner and outer tables are thickened.
 
Axial T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow.
 
Axial T2 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow. Also the ethmoid sinuses are affected.
 
Axial PD WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow. Also the ethmoid sinuses are affected.
 
Sagittal T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow.
 
Coronal T1 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow. Also the ethmoid sinuses are affected.
 
Coronal T2 WI of the cranium reveals thickening of the tables evident on the inner. Diploic space is markedly widened and demonstrates mixed signal intensity. Hypointense areas indicate fibrosis whereas the areas of hyperintense signal intensity indicates fatty marrow. Also the ethmoid sinuses are affected.At the convexity level only the inner table seems to be thickened.
 
 
 
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