PMC3567968_01
X-rays and computed tomography scan image of the patient showing bone thickening. Radiograph shows typical (A) vertebral endplate thickening (sandwich vertebrae sign) of the rib and vertebrae, (B) diffuse thickening of pelvic and lower limb bones, and (C) homogenous sclerotic skull bones. (D) A computed tomography scan image of the patient's brain showing an increased thickened bone density, homogenously sclerotic skull bones encroaching on both optic foramens, and mild dilatation of the lateral and third ventricle with normal fourth ventricle.
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Skeletal radiography (Figure 1A-C) showed a diffuse increase in bone density with evidence of a sandwich appearance in the vertebrae and iliac wings (bone-in-bone). The computed tomography (CT) scan (Figure 1D) showed increased thickened bone density, homogenously sclerotic skull bones, encroaching on both optic foramens, and mild dilatation of lateral and third ventricle with normal fourth ventricle.
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