Paget’s disease most often affects older people, over the age of 55.

The cardinal features:

  • Thickening of the trabeculae and of the cortex.
  • Increased bone density.
  • Enlargement of the affected bone A) The classically described radiological appearances are sclerotic expanded bone with a coarsened trabecular pattern

B) Axial & sagittal reformat of CT demonstrating coarse trabeculae, and enlargement of the skull bone

C) Paget’s disease showing incomplete fractures of the lateral aspect of the femur. Note the marked thickening of the cortex and bowing of the femur.