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Chapter 52 

Chapter 52
Chapter 52

Kate Lee

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date: 18 May 2022

A sagittal CT reconstruction increased subendplate densities at multiple contiguous levels to produce an alternating dense-lucent-dense appearance (“rugger jersey” spine). An AP abdominal radiograph demonstrates irregular widening of the pubic symphysis and thinning of the medial femoral cortex indicative of subperiosteal resorption. Coronal CT reconstruction shows atrophic kidneys in the same patient on hemodialysis. Coronal and sagittal CT images demonstrate irregular widening of both sacroiliac joints indicating subperiosteal resorption. A coronal CT image shows diffusely increased bone density in the skull. A magnified PA radiograph of the hand demonstrates thinning of the radial aspect of the middle phalanges of the hand pathognomonic for subperiosteal reaction in hyperparathyroidism. An axial CT image shows a round lucent lesion in the left iliac bone proven to be an osteoclastoma or brown tumor in the same patient.

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