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Turkish Journal of Physical Medicine and Rehabilitation 2006 , Vol 52 , Num 2

MRG Incelemesinde Metastazları Taklit Eden Bir Osteopoikiloz Olgusu

Berna Tander 1 ,Kıvanç Cengiz 2 ,Barış Diren 3 ,Ferhat Cantürk 2
1 Department of Physical Medicine and Rehabilitation, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
2 Ondokuz Mayıs Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Samsu
3 Ondokuz Mayıs Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Samsu

Osteopoikilosis (OP) is a benign sclerosing bone dysplasia, which may mimic many different bone pathologies. We present here a case of OP, whose magnetic resonance imaging (MRI) study was considered to have bone metastases. Our case admitted with hip pain to another hospital. His MRI examination revealed multiple sclerotic areas which previously determined as bone metastases of unknown primary origin. MRI examination of pelvis with T2-weighted transverse image shows multiple round hypointense lesions located in both femoral heads. When we re-examined the MRI findings, these sclerotic areas were thought to be related to OP. We conclude that the MRI findings of OP may mimic the bone metastases. MRI findings suggesting bone metastases may be related to an OP. 

 Keywords : Osteopoikilosis, magnetic resonance imaging, bone metastasis