Diffuse idiopathic skeletal hyperostosis (DISH) on X‑ray: 4 real cases

Real, openly licensed radiographs showing diffuse idiopathic skeletal hyperostosis (dish). Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

Flowing anterior ossification across 4 or more levels, SI joints normal.

Learn: Spondylolisthesis and degenerative spine

Quiz yourself on spine images

Cases

Radiograph from the case bank: Diffuse idiopathic skeletal hyperostosis (DISH)

Case #49147223Spine · Advanced

Case #31699239Spine · Advanced

Case #56495041Spine · Advanced

Case #56495107Spine · Advanced

Other spine diagnoses

Ankylosing spondylitis
Degenerative spondylosis
Lumbar vertebral fracture
Scoliosis
Spondylolisthesis
Spondylolysis (pars defect)

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.