Case Author(s): Michael Roarke, MD and Barry A. Siegel, MD , 4/12/96 . Rating: #D3, #Q5

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Brief history:

74-year old woman with back pain and elevated serum alkaline phosphatase level.


Anterior and posterior images at 4 hours.

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View second image(bs). Anterior and posterior images at 3 hrs.

View third image(xr). Plain radiograph of the hand.

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