Title: October 2017 – Abnormal Changes in BMD of the Hip

Submitted By: Steven Petak MD JD MACE FACP
Associate Clinical Professor Weill-Cornell Medical College
Division Head Endocrinology and Chief of Endocrinology, Houston Methodist Hospital

Patient History:
An 85 year old woman with mild hip pain – long standing – for routine DXA. Discordance changes noted at the hips, with increased BMD at the left hip (Figure 1) compared to the right hip. (Image not shown). (Figure 2).


Figure 1: DXA image of left hip Right hip image was unremarkable (not shown.)


Figure 2: DXA scan results. Degenerative changes at the spine limited assessment to only the upper two vertebral bodies.

Questions:

  1. Are there abnormalities to the appearance, positioning, or analysis of the left hip?
  2. What possible etiologies can explain the left hip findings?

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