Findings and Differential Diagnosis
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The lumbar radiographs show marked posterior scalloping
of the vertebral bodies from T12-L3. On the AP view note the
marked thinning of the pedicles at the same levels. Metallic
sutures in the right upper quadrant of the abdomen are indicative
of previous abdominal surgery.
The most significant findings in this case are: extensive
posterior vertebral body scalloping, and thinning of the pedicles.
The differential diagnosis for posterior scalloping includes
Ehler's Danlos Syndrome and Marfan's Disease
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Introduction to Unknown Cases
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