Sarcoidosis is a systemic disease that histologically typically shows non-caseating granulomas. The most common radiologic finding is hilar and mediastinal adenopathy. Patients with widely disseminated disease may show involvement of the peripheral appendicular skeleton in 1-13% of such cases. A primary skeletal presentation without other manifestations typical of the disease is rare. We present a case of sarcoidosis in a middle-aged Caucasian man in whom the disease presented with widespread lytic lesions in the axial skeleton and long bones, mimicking metastatic disease. There was no involvement of the peripheral skeleton, skin or lungs.

The Statscan whole body radiographic system is a useful method for detecting focal metastatic disease in cancer patients and multifocal involvement in myeloma patients.

To determine the incidence of acute pelvic fractures in patients with a history of being assaulted. Retrospective review by two musculoskeletal radiologists of 357 consecutive patients in a 12-month period, (308 males, 49 females). Two hundred seventy-six patients also had pelvic CT scans done at the same time. There were no acute pelvic fractures in this group. One patient had a 12th rib fracture and two other patients had a total of three lumbar spine transverse process fractures at the L1, L2, and L5 levels. Pelvic radiographs are not needed as part of standard protocols for patients who present with a history of being assaulted.