Imaging Findings and Evaluation of Metabolic Bone Disease

Figure 5

Osteomalacia. A 51-year-old female with levoscoliosis and heterogeneous density of the ilia adjacent to the acetabula (dotted arrows) likely from abnormal mineralization on AP view of the lumbar spine (a). Bowing deformities (Shepherd’s crook deformity) on AP views of the femora (b and c) and magnified view of the right proximal femur. (d) Subtle lucency along the concave medial border of the right proximal femur (white arrow) represents a Looser zone.

(a)

(b)

(c)

(d)