BMD interpretation mistakes - case 15

  Feb 2000 June 2001
T-score, fem. neck -3.0 -3.3
g/cm2, fem. neck 0.625 0.586
T-score, total hip -2.7 -2.4
g/cm2, total hip 0.675 0.710

This74-year-old woman had been taking alendronate for the last year. The DEXA scans are shown above.

The radiologist's impression: "Osteoporosis femoral neck with a 6% decrease in bone mineral density since 2000. . .

It is not unusual for the first DEXA scan obtained afer the patient has initiated therapy for osteoporosis to show a small increase or decrease."

Updated 8/8/05