Plain radiography of the skull after investigation for raised calciumBMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2759 (Published 19 May 2016) Cite this as: BMJ 2016;353:i2759
- David C Howlett, consultant radiologist and honorary clinical professor1,
- Joseph Dalby Sinnott, foundation year 2 doctor2
- 1Department of Radiology, East Sussex Hospitals NHS Trust, Eastbourne, UK
- 2East Sussex Hospitals NHS Trust
- Correspondence to:
A 63 year old man was being investigated for raised serum calcium and alkaline phosphatase. Plain radiography of the head was performed after a bone scan showed increased uptake in the patient’s skull. What does the radiograph show (fig 1)?
The radiographic findings are consistent with a diagnosis of Paget’s disease of the bone.
The lateral skull radiograph shows marked calvarial thickening, with …