Case 40 History: Chest pain
CLICK HERE FOR ANSWER
Everyone get this one? One of the old school differentials.
Answer: Ivory vertebral body (normal size but diffusely white/sclerotic)
metastatic disease, especially carcinoma of the prostate or breast
Paget disease (not the classic presentation of Paget’s)
lymphoma, particularly Hodgkin lymphoma (look for soft tissue mass)
Nice full write-up: http://radiology.rsna.org/content/235/2/614.long