CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 23Overconstriction or
Overtubulation (Narrow
Diametaphysis)

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig B 23-1 Paralysis. Generalized narrowing of
the bones of the leg with cortical thinning and
diffuse osteoporosis.

4. • Fig B 23-2 Muscular dystrophy. Generalized thinning of
the bones of the lower leg. The fascial sheaths appear
as thin shadows of increased density (arrows)
surrounded by fatty infiltration within muscle bundles.

5. • Fig B 23-3 Marfan's syndrome. The metacarpals
and phalanges are unusually long and slender
(arachnodactyly).

6. • Fig B 23-4 Osteogenesis imperfecta. The bones
of the lower extremity are thin and deformed
with evidence of previous fracture.

7. • Fig B 23-5 Juvenile rheumatoid arthritis. Severe
demineralization of bone with expansion of the
epiphyseal and metaphyseal areas and relative
constriction of the underdeveloped diaphyseal
portions.

8. • Fig B 23-6 Progeria. The ulna and radius are
thin and osteoporotic.26