Pain post fall.
Loading Stack -
0 images remaining
Zoomed in frontal projection demonstrates numerous small round well-defined sclerotic foci in all the carpal bones, the distal radial epiphysis and the bases of several metacarpals.
The other views were unremarkable.
Multiple bone islands (enostoses) are in keeping with osteopoikilosis which is a rare inherited benign sclerosing bone dysplasia and is usually incidentally found on imaging. Patients are completely asymptomatic.