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Hypertrophic pulmonary osteoarthropathy

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This set of scans was ordered for a 49 year-old patient with a long history of smoking.

The pathology on the chest x-ray is common, but the chest x-ray and the bone scan are connected by a syndrome which is quite rare. This patient has hypertrophic pulmonary osteoarthropathy, a rare syndrome defined by the presence of clubbing and periosteal proliferation of the tubular bones.

See more cases like this on Figure 1.

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