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21Radiolucent Metaphyseal
Bands
CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
• Fig B 21-1 Congenital syphilis. Transverse bands
of increased density across the metaphyses
(small arrows) associated with patchy areas of
bone destruction in the diaphyses. There is solid
periosteal new bone formation (large arrow),
which is best seen about the distal humerus.
• Fig B 21-2 Rubella. Radiograph of the knee in a 1-
dayold girl with a maternal history of rubella
demonstrates alternating lucent and sclerotic
longitudinal striations extending perpendicular to the
epiphyseal plate and parallel to the long axis of the
bone (celery stick sign).32
• Fig B 21-3 Leukemia. In addition to radiolucent
metaphyseal bands, there is frank bone
destruction with cortical erosion involving many
of the metatarsals and proximal phalanges.
• Fig B 21-4 Craniometaphyseal dysplasia.
Severe metaphyseal lucency with diaphyseal
sclerosis about the knees.
• Fig B 21-5 Chronic systemic illness.
• Fig B 21-5 Chronic systemic illness.
21 radiolucent metaphyseal bands
21 radiolucent metaphyseal bands

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21 radiolucent metaphyseal bands

  • 2. CLINICAL IMAGAGING AN ATLAS OF DIFFERENTIAL DAIGNOSIS EISENBERG DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL
  • 3. • Fig B 21-1 Congenital syphilis. Transverse bands of increased density across the metaphyses (small arrows) associated with patchy areas of bone destruction in the diaphyses. There is solid periosteal new bone formation (large arrow), which is best seen about the distal humerus.
  • 4. • Fig B 21-2 Rubella. Radiograph of the knee in a 1- dayold girl with a maternal history of rubella demonstrates alternating lucent and sclerotic longitudinal striations extending perpendicular to the epiphyseal plate and parallel to the long axis of the bone (celery stick sign).32
  • 5. • Fig B 21-3 Leukemia. In addition to radiolucent metaphyseal bands, there is frank bone destruction with cortical erosion involving many of the metatarsals and proximal phalanges.
  • 6. • Fig B 21-4 Craniometaphyseal dysplasia. Severe metaphyseal lucency with diaphyseal sclerosis about the knees.
  • 7. • Fig B 21-5 Chronic systemic illness. • Fig B 21-5 Chronic systemic illness.