Elevated Bone Mineral Density

 

The Z-score is elevated in this Hologic lumbar spine DXA scan.

The Z-scores are also elevated at the femoral neck and total hip in the left proximal femur Hologic scan.

Case Description:

There is no International Society for Clinical Densitometry consensus on the definition of elevated bone mineral density. A paper by Dr. Michael Whyte (below in references) suggested that a Z-score >= 2.5 as a diagnostic criterion for elevated bone mineral density. Elevated bone mineral density has a wide differential diagnosis. No further work-up was available to evaluate a cause of elevated bone mineral density in this patient. There are elevated Z-scores at the lumbar spine and both sites in the left proximal femur.

Credit:

Sarah L Morgan, MD, RD, CCD, The University of Alabama at Birmingham.

References:

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