Multiple myeloma - spine

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Back pain.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

MRI of the thoracic spine demonstrates extensive patchy regions of bone marrow replacement (normal fatty marrow is bright on both T1 and T2 - abnormal marrow is dark) associated with multiple superior endplate crush fractures. Features are suggestive of multiple myeloma.

Case Discussion

The diagnosis of multiple myeloma was subsequently confirmed histologically. 

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