History
  1. Check for predominant site of involvement, and associated findings
  2. Normal spine radiograph
  3. Consider metaphyseal chondrodysplasia (MCD) group. Recheck spine radiograph for subtle abnormalities
  4. Exclude treated rickets
  5. Irregularity
  6. Abnormal metaphyses
  7. Check long bones radiograph
  8. Normal pelvis radiograph/ can not be characterized/ not available
  9. Check the pelvis radiograph
  10. Normal spine radiograph/ not available
  11. Normal Bone Density
  12. Skeletal survey in a child
Hips more affected, coxa vara, narrow thorax and short ribs, pancreatic exocrine insufficiency, cyclical neutropenia

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Thumbnail Name
Unavailable Shwachman- Diamond syndrome