Radiologic Abnormalities in the Legs

Case Description

A 73-year-old woman presented with right hip pain and a history of lung cancer. Radiographic studies showed marked periosteal proliferation, most notably in the long bones (Fig 1). Subsequently, anterior and posterior whole-body bone imaging was performed using 28.0 mCi of technetium 99m hydroxy-diphosphonate (HDP) administered intravenously. Increased bilaterally symmetric uptake along the cortices of the femurs and tibia was observed (Fig 2).

(Enlarge Image)

Marked periosteal proliferation, most notably in the long bones.

(Enlarge Image)

Increased bilateral symmetric uptake along the cortices of the femurs and tibia.

Which is the most likely diagnosis?

1. Chronic venous stasis

2. Osteoarthritis

3. Hypertrophic osteoarthropathy

4. Multifocal osteomyelitis

5. Thyroid acropachy

6. Hypervitaminosis A

View the correct answer.

Cancer Control. 2002;9(1) © 2002 H. Lee Moffitt Cancer Center and Research Institute, Inc.
© Copyright by H. Lee Moffitt Cancer Center & Research Institute. All rights reserved.

Cite this: Radiologic Abnormalities in the Legs - Medscape - Jan 01, 2002.