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Diagnostic Imaging Pathways - Suspected Osteoporosis

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Osteoporosis

Image 1a (DEXA scan): The left hip bone mineral density measures 0.785 gm/cm^2. This correlates with a 'T' score of -2.2, and a 'Z' score of -1.6.

1b Click to view full size image  

Image 1b (DEXA scan): The lumbar spine bone mineral density measures 0.781 gm/cm^2. This correlates with a 'T' score of -2.8 and a 'Z' score of -2.5.

Based on the WHO Diagnostic Categories for Osteoporosis, the lowest T score of -2.8 in the lumbar spine indicates osteoporosis.

       
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Complications of osteoporosis

Image 2 (Lumbar spine X-ray): Multiple vertebral crush fractures on a background of severe osteoporosis.

       
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Complications of osteoporosis

Image 3 (Pelvis X-ray): AP view of a comminuted inter-trochanteric fracture of the left hip.

       
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Complications of osteoporosis

Image 4 (Pelvis X-ray): AP view of an impacted sub-capital right hip fracture.

       
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Complications of osteoporosis

Image 5 (Wrist X-ray): Impacted fracture of the distal left radius.


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