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Lytic pelvic lesion - multiple myeloma

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Pelvic pain.

Patient Data

Age: 65 years
Gender: Female

Large lytic lesion in the left iliac bone is demonstrated, extending from the left sacroiliac joint to the acetabulum. Well-defined subcentimeter lucent lesion in the proximal right femoral diaphysis.

No fracture detected. The hip joints demonstrate mild degenerative change. The hip joints are enlocated. 

Case Discussion

The patient has a known history of multiple myeloma

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