Pelvic brim sign

Last revised by Ashesh Ishwarlal Ranchod on 13 Nov 2023

The pelvic brim sign is seen in the AP view of the pelvis and refers to a thickening of the pelvic brim outlined by the iliopectineal line. It is due to an osteoblastic reaction seen and first described in Paget disease, which leads to cortical thickening and sclerosis 1.

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