Pagets disease of lumbar vertebrae LSBU

Description: ACR-code 338-84 Four cases of patients in late middle age with back pain.
The first image shows increased density in the vertebra with loss of fine detail and a coarse zone of increased density making a thickened rim around the vertebra, a 'picture frame' vertebra. The CT cuts show irregular variation in bone density and architecture. Irregular thickening of the cortex is visible. A further picture frame vertebra is present on the scout view of a CT series with an axial view of the affected vertebra. The final image shows increased density, greater size and some compression of the body of the affected vertebra.