How does an incidental finding of low bone density on imaging done for another reason inform your screening approach for osteoporosis?

In patients with CKD, I would also look for changes on the plan radiographs of secondary hyperparathyroidism. For example, erosion of the distal tufts of the phalanges on hand films, erosion of the clavicle, and arterial calcification. If these findings are present, then it signifies hyperparathyroi...

Usually, the use of “osteopenia” in a hand X-ray is peri-articular, like in RA, and may not reflect generalized low bone mass. It has been estimated in CXR review for a group of radiologists being willing to use the term “osteopenia”, there must be around a 30% decrease in BMD compared to young heal...