Raindrop skull

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Fatigue, weight loss and raised paraproteins.

Patient Data

Age: 70 years
Gender: Male
x-ray

Multiple tiny lucent lesions throughout the skull vault giving a raindrop appearance.

Case Discussion

A histopathological diagnosis of multiple myeloma following this radiographic suspicion.   

Many centers are moving from skeletal surveys to whole body MRI in the diagnosis of multiple myeloma.

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