What is the most likely diagnosis?
- 37 year-old female with abdominal pain
Frontal radiograph of the pelvis
- Osteoblastic breast metastases
- Dermoid of the ovary
- Osteopoikilosis
- Pelvic fracture
- Multiple myeloma
Additional Images - Axial CT scan of the pelvis
Additional Images
Axial CT scan of the pelvis
Answer:
.
3. Osteopoikilosis
.
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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
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