A 65-year-old man presents with bone pains. X-ray Skull shows?
a. Paget’s disease
b. Histiocytosis-X
c. Fibrous dysplasia
d. Multiple myeloma
Ans. (a) Paget’s disease
The X-ray Skull shows evidence of excessive bone remodelling diagnostic of Paget’s disease.
The features Seen are:
Cotton wool appearance
Large single lytic lesion
Widened diploic spaces
Enlarged frontal bones with appearance of skull falling over facial bones.