Pagetʼs Disease Presenting as Ivory Vertebral Body with Increased Uptake on Bone Imaging

The authors describe a 29-year-old man with abdominal pain in whom an abdominal series revealed a Ti2 ivory vertebral body. Intense increased activity was demonstrated on total body bone scintigraphy. A bone biopsy revealed Paget disease. Although Paget disease is extremely rare in a patient of this age, it does occur.