Bone Loss or a Case of Mistaken Gender?

A 79-year-old Caucasian male presents for a screening DXA scan, as recommend by the US National Osteoporosis Foundation and the International Society for Clinical Densitometry. He is 170 cm (67 inches) tall and weighs 80 kg (176 pounds) with BMI = 26.2. This showed a T-score of -2.4 at the lumbar spine (Figure 1). There was no spine fracture on the spine radiographic evaluation. The patient was treated with denosumab, 60 mg subcutaneously, every six months plus calcium and vitamin D...