Diagnosis of Paget's disease from chest radiographs: The "dense coracoid sign"

Incidental Paget's disease of the shoulder as detected on chest radiographs is considered. Five patients demonstrated typical proximal humeral pagetoid involvement, but involvement of the acromiocoracoid or glenocoracoid parts of the scapula was twice as frequent. The dense coracoid was a constant feature and this sign should be sought on chest radiographs especially in the older patient.

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