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Orthopaedics
A 72-year-old woman presents with bone pain and tenderness in her lower extremities and left clavicle. Physical examination reveals tenderness to palpation on her lower legs and left midclavicle. Laboratory studies reveal elevated calcium, decreased phosphate, and elevated parathyroid hormone (PTH). X-ray reveals the following. Which of the following is the diagnosis?
Paget disease of the bone
Osteomalacia
Osteoporosis
Osteitis fibrosa cystica
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