Study 1
Case History
- 42 years old female presented with progressively increasing bone pains in anterior chest wall of 2-3 years duration.
- On examination found to have enlarged both clavicles and tenderness at both sterno clavicular joint.
- Investigation suggestive of Elevated ALP with normal calcium ,phosphorus , 25(OH)D and PTH. Increased ESR and hs CRP with normal collagen vascular profile.
X-ray skull lateral view and bone scan attached.
What is X-ray Finding? What is the diagnosis ?