What adjectives do you want to use to describe the finding?
Increased size of bone
Trabecular thickening cortical thickening Increased size of bone
What important finding is present?
Patient returned with increased pain “ Banana fracture" = tiny horizontal cortical infractions (“Looser lines”) on convex surfaces of lower extremity long bones (lateral bowing of femur, anterior bowing of tibia)
The radiologic appearance of Paget's disease of the long bone reflects the pathologic stages of the disease:
(1) destructive or active,
(2) combined destructive and proliferative, and
(3) sclerotic. Paget's disease of the long bones begins at one end of the bone (the shaft of the tibia may occasionally be involved by itself).
Complications of Paget's disease are insufficiency and true fractures;
sarcoma is a rare complication.
Paget's disease does not require follow-up imaging unless complications occur.
"Cotton wool" appearance represents mixed lytic and blastic pattern of thickened calvarium (later stage)
"Candle flame" or "blade of grass" pattern of lysis is the advancing tip of V-shaped lytic defect in diaphysis of long bone originating in subarticular site