History
  1. Check for long bone abnormalities
  2. Lacy/ irregular iliac crest
  3. Abnormal iliac wing shape
  4. Check the pelvis radiograph
  5. Normal spine radiograph/ not available
  6. Normal Bone Density
  7. Skeletal survey in a child
Metaphyseal flaring and cone shaped epiphyses (short long bones of hand)

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Revisit spine radiograph for mild vertebral endplate changes, consider Dyggve Melchior Claussen syndrome (with intellectual disability), or Smith McCort syndrome (normal intellect)