1 thought on “Known Pagets Disease with Low Back and Pelvis Pain”

  1. hilary.umans

    [image: Paget LBP CT.jpg]
    [image: Paget LBP CT1.jpg]
    He returned for CT.
    Now I can understand why the posterior cortex of the sacrum looked
    indistinct…there is both osteolysis of the posterior sacral body and the
    deep surface of the posterior elements, but there is no soft tissue mass /
    component.
    Can I presume that there is no suggestion of Paget related sarcoma in the
    absence of a soft tissue component?
    I don’t understand why there is osteolysis in the context of late stage
    Paget.

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