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DICOM HelpSource: Local (us-east1-c)
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Demographics:
1 years old, Male
Indication:
Malnutrition
Findings
- Irregularity of the bilateral distal radial and ulnar metaphyses
- Osteopenia with bone-in-bone appearance of the metacarpals
Diagnosis
Rickets
Sample Report
Irregularity of the bilateral distal radial and ulnar metaphyses consistent with rickets.
Osteopenia.
No acute fracture or malalignment.
Discussion
- Rickets results from hypophosphatemia and may result from prematurity, poor nutrition, malabsorption syndromes, or vitamin D resistance among other causes
- Common imaging findings:
- Metaphyseal irregularity/cupping
- Growth plate widening
- Tubular bone bowing/fractures
- Osteopenia
- Rachitic rosary in the chest (expansion of anterior rib ends at the costochondral junctions)
- Widening of skull sutures