1. 4Generalized Vertebral
Otosclerosis

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

3. • Fig SP 4-1 Myelofibrosis. Uniform sclerosis of the
spine and pelvis seen on a film from an excretory
urogram. The renal function is obviously
diminished, and the spleen is enlarged (arrow).2

4. • Fig SP 4-2 Osteoblastic metastases. (A)
Carcinoma of the prostate. (B) Carcinoma of
the breast.

5. • Fig SP 4-3 Paget's disease. Picture-frame
vertebral body with condensation of bone
along its peripheral margins (arrows). There is
straightening of the anterior surface of the
bone (arrowhead) and involvement of the
pedicles.2

6. Fig SP 4-4 Osteopetrosis. Generalized sclerosis of the lower spine,
pelvis, and hips in a 74-year-old woman with the tarda form of
this condition.

7. Fig SP 4-5 Fluorosis. Diffuse vertebral sclerosis with obliteration
of individual trabeculae.5

8. • Fig SP 4-6 Renal osteodystrophy. Areas of
increased sclerosis subjacent to the
cartilaginous plates produce the characteristic
“rugger jersey” spine in this patient with
chronic renal failure.2