AXR:
Abdominal pain and nausea shortness of breath and weight loss.

CT:
Weight loss. CT peformed after nearly 1 year


Bone scan:
Severe tenderness in thoracic spine, T6-T8. Severe weight loss. Raised alkaline phosphatase

Diagnosis:
Paget's disease
Discussion:
Paget's disease is a relatively common disease in elderly male patients (to be continued)