Incidentaloma: Pagetic Scapula

Osseous Paget’s disease is the second most common remodeling bone disease in elderly patients after osteoporosis [1]. The prevalence of bone Paget’s disease increases with age and there is male’s predominance. Although Paget’s disease of the bone is usually silent, however, various symptoms and serious complications could occur secondary to it [2,3]. We are reporting a rare case of a monostotic Paget’s disease that involves only the scapula. The scapular lesion was noted initially, incidentally, on the chest plain film with radiographic features suggestive of Paget’s disease. Thereafter, additional studies for further evaluation were done by preforming dedicated radiographs of the right scapula and whole-body bone scintigraphy with imaging findings compatible with this diagnosis possibility. Alkaline phosphatase was significantly high and serum calcium and phosphorus were within the normal range supporting the presence of Paget’s disease.