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Diagnosis:

Paget Disease

Findings:

Lateral radiograph of the spine demonstrates enlarged radiodense body of L3 vertebra. The cortex and trabecula are thickened.

Diff Dx:

Picture-frame vertebrae is a classic finding of Paget disease. Radiodense (ivory) vertebra can be seen in the setting of metastatic disease. Osteopetrosis has a "bone within bone" appearance.


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