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Slice 6 of 1
Can you make the diagnosis?
Review the images, then reveal
XRMusculoskeletalConfirmedFRCR 2B
Renal osteodystrophy and brown tumors
Clinical Presentation
Chronic renal failure.
- 1Plain X-ray hands of a young patient with CRF shows signs of secondary hyperparathyroidism:irregular, frayed and ill-defined cortical outline, pronounced at radial aspect of middle phalanges –> subperiosteal bone resorptionmultiple lytic expansile lesions –> brown tumors (arrows)osteosclerosisaccentuated trabecular pattern non-essential trabeculae are resorbed
- 2those that remain appear prominent)