31 Osteopoikilosis

Osteopoikilosis

Brian Edward Reeves, Anthony G. Ryan, Peter L. Munk, and Thomas Pope

Clinical Presentation

A 55-year-old man presented with right hip pain after a motor vehicle accident. An AP pelvic film and a preoperative chest x-ray were performed.

Figure 31A

Figure 31B

The pelvic film (Fig. 31A) shows a fracture of the right femoral neck. Also noted are several sclerotic bony foci with round to ovoid radiolucent centers. These foci are also diffusely present on the chest film (Fig. 31B). The enlarged cardiac silhouette is likely due to poor inspiratory effort.