Pagets Disease of Bone

Description: Paget's Disease of Bone. In the bone scan, we see intense uptake in the lower T-spine, the mid L-spine, sacrum, and the sacral wings. The "butterfly" pattern of vertebral involvement suggests Paget's Disease, which affects the entire vertebral body rather than metastatic disease, which predelicts the pedicles. Paget's Disease frequently, but not always, involves multiple bones.