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Image Challenge This patient presented with cough

This patient presented with cough

image

This patient presented with cough. What diagnosis accounts for the combination of findings on the bone scan?

Adverse effect of chronic glucocorticoids
Mastocytosis
Metastatic lung cancer
Osteomalacia with fracture
Paget's disease
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Dr Maria delete July 27, 2019 at 7:38 AM

Paget's disease

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