21-month-old girl with rickets and vitamin D level of 5 ng/mL (IMAGE)
Caption
Left: Long-leg bilateral lower extremity radiograph. Right: Edited radiograph of right knee shows cupping (curved dotted line), fraying (arrowheads), and increased physeal widening (double head arrow) in distal femur, with similar findings in proximal tibia and fibula (not annotated), all consistent with rickets; radiograph shows no signs of CML. All eight radiologists correctly interpreted radiograph as showing rickets with moderate or high confidence.
Credit
American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR)
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