Musculoskeletal CT Appearances

Paget's Disease CT Findings

• Lytic:
  • Osteolysis with resorption
  • Osteolysis has sharp, leading edge (“blade of grass” or “candle flame”)
• Mixed:
  • Cortical thickening
  • Osseous expansion
  • Coarsening and thickening of trabeculae
• Sclerotic:
  • Osteosclerosis
  • Fatigue fractures and bowing deformities
• Usually involves multiple bones

Related Pearls: Paget's Disease