CTICasesRenal Osteodystrophy
Imaging findings
Distal clavicular resorption (fuzzy margins/paintbrush appearance), collapse of the thoracic spine, and the "rugger jersey" sign (central lucencies in vertebral bodies). Advanced cases show internal scalloping, bony erosion, and cystic "brown tumor"-like lesions.
Key takeaways
While less common today due to better management of calcium metabolism, chronic renal osteodystrophy can cause severe, progressive skeletal damage. It remains a key diagnostic consideration in patients with long-standing renal failure.
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