Findings, case of Hip/pelvic bone pain and fatigue

Imaging Findings

An anteroposterior (AP) radiograph of the pelvis of Patient 1 shows increased bone density of right ilium, ischium and pubic rami. The trabecula are coarse. Both iliopectineal (arrows) and right ilioischiatic lines are thickened.

An AP view of the pelvis of Patient 2 demonstrates marked enlargement of iliopectineal (short arrows, see link below) and ilioischiatic lines; this is greater on the left than on the right. There is an increase in the bone density of the ilium, ischium and L4, cortical thickening, bony expansion, and coarsened trabecular pattern. Also note the lytic destruction of the right sacrum and ilium (long arrow, see link below) with a subtle soft tissue mass projecting into the right side of the pelvis. (Arrows)

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