Lytic bone lesions due to multiple myeloma with pathologic intertrochanteric fracture
Presentation
Known multiple myeloma.
Patient Data
Skeletal survey
Innumerable lytic lesions throughout the calvarium. 50% compression of the T9 vertebral body. Right chest port. Multiple lytic lesions both scapulae and clavicles. Multiple lytic lesions right hemipelvis. IM nail bridges a lytic lesion within the right proximal femur. Multiple left proximal femoral lytic lesions.
Absence of the proximal right humerus distal to the humeral head with multiple lytic lesions both humeri, both ulnae, the right radius, both tibiae, and both fibulae.
Hip series 7 months prior
Pathologic right intertrochanteric femoral fracture.
Hip series 10 months prior
Multiple lytic lesions involving the proximal femurs bilaterally including a large lesion within the right greater trochanter with endosteal scalloping, posing a risk for pathologic fracture. Scattered lytic lesions within the pelvis.
Case Discussion
Typical appearance of multiple lytic lesions in multiple myeloma with a pathologic right hip fracture. A typical example of endosteal scalloping.
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