PMC2933729_01
X-ray of the skull showing diffuse thickening and increased density of maxilla and mandibles
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An X-ray of the skull revealed diffuse thickening of the mandible, with increased density [Figure 1].
X-ray chest showing bilateral clavicular thickening, sclerosis and overlying soft tissue swelling
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An X-ray of the chest revealed unremarkable lung fields and the heart with left clavicular thickening and sclerosis, with associated overlying soft tissue swelling [Figure 2].
99m Tc MDP skeletal scintigraphy showing diffusely increased uptake in both mandibles, with similar uptake in both clavicles, coinciding with the radiological lesions
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In view of the persistence of the symptoms and no change in clinical parameters, the possibility of infantile cortical hyperostosis was suspected and the child was referred for skeletal scintigraphy. 99m Tc MDP Skeletal scintigraphy revealed diffusely increased uptake in both mandibles, with a similar uptake in both clavicles, while the rest of the skeleton showed no active pathological focus [Figure 3].