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Case of the Week 415




What is the most likely diagnosis?

  • 37 year-old female with abdominal pain



Frontal radiograph of the pelvis

  1. Osteoblastic breast metastases
  2. Dermoid of the ovary
  3. Osteopoikilosis
  4. Pelvic fracture
  5. Multiple myeloma

Additional Images - Axial CT scan of the pelvis

 

 

Additional Images

 

Axial CT scan of the pelvis


Answer:

.


3. Osteopoikilosis

.

.

More (Click Discussion Tab)


Osteopoikilosis

General Considerations

  • Rare autosomal dominant or sporadic osteosclerotic dysplasia
  • Multiple punctate sclerotic lesions representing "bone islands" or foci of compact bone located in cancellous bone
  • Asymptomatic
  • Occur in the epiphyses and metaphyses with predilection for
    • Tubular bones of the hands and feet
    • Carpals
    • Tarsals
    • Pelvis
    • Scapula

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.