Image of the Week: Periosteal proliferation of the tubular bones

This set of scans was ordered for a patient aged 49 years with a long history of smoking.

The pathology on the chest x-ray is common, but the chest x-ray and the bone scan are connected by a syndrome which is quite rare.

The Image of the Week for September 14, 2014 is brought to you in partnership with:

//Init dyn-registration variables var delayTimeout = {}; var dynamicUrl = ""; var adminEmail = ""; var pubName = "Clinical Advisor"; var returnUrl = ""; var regHeaderText = "Register with Clinical Advisor"; var loginHeaderText = "Log In to Clinical Advisor"; var customModalRegistrationCookieName = "CustomModalRegistration6"; var customModalRegisteredExpireDays = "365"; var genericErrMsg = "Please provide the correct information for the indicated fields below."; var passwordErrMsg = "Password length must be greater than 4."; var regIntroText = "Register for your FREE account now and join thousands of your peers who depend on us for current evidence-based review articles, clinical cases and opinion pieces from nurse practitioners and physician assistants like you on timely healthcare topics and current events. "; var forgotPwdIntroText = "Enter your " + "Clinical Advisor" + " registration email address to receive a password reset link."; var customModalRegistrationSwitch = "CustomModalRegistrationSwitch6"; var publicationUrl = ""; var requirePasswordDynReg = true; var isSocialSignInRegistration = false; var showSkin; var skinWidth = 1260; var enableMadisonLogic = "True"; var isJanrainCookieDetected = "False"; var mycmeNewsletterIds = ""; var uncheckNewsletterIds = ""; var userCountryCode = ""; var dynUpdateRegUrl = "/hminobot/dynamicregister/dynamicregistrationupdate"; $(document).ready(function () { });