Pagets disease phalanx and metacarpal LSBU

Description: Radiology case 438-843: Paget's Disease Clinical presentation: Mature adult male with painful hands.
There is increased density of the proximal phalanx of the left middle finger, the left 2nd metacarpal and the base of the right 5th metacarpal. The bones no longer show the pattern of cortex and medulla that can be seen in the other bones. The affected bones are enlarged, particularly the phalanx. In all instances, the abnormal bone extends to a joint surface. The hands also show some loss of interphalangeal joint space and slight prominence of the tendon insertions.