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Although relatively common, Paget disease of the bone is often underdiagnosed and undertreated. The disease process involves an abnormally high rate of bone resorption at specific sites, which triggers a misshapen bone remodeling pattern. Radiologic imaging, especially radiography and bone scans, plays a key role in helping to diagnose and monitor Paget disease. This article will discuss the etiology, pathophysiology, common symptoms, and treatment of Paget disease, as well as the role of imaging in diagnosing the disease.

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