Round # 16

• Back to Clinical History and Radiographs
• What is the Differential Diagnosis?
• What is the Correct Diagnosis?

Radiographic Findings

Her spine films reveal an exaggerated thoracic kyphosis with anterior wedging (loss of height) of the thoracic vertebrae and reactive sclerosis (red arrows). The vertebral endplates have markedly irregular contours that the radiologist reported as epiphysitis. Indentations in the vertebral contours (schmorls nodes) are noted as well (yellow arrows).

Film 1

Film 2

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