Multiple myeloma

Case contributed by Dr Heba Abdelmonem

Presentation

The current study is a one-year follow-up of a patient diagnosed as a case of multiple myeloma. The earlier CT examination was performed for chest pain and dyspnea one year earlier.

Patient Data

Age: 50
Gender: Male

Current CT

CT

CT of the chest, abdomen, and pelvis demonstrates multiple punched-out lytic lesions of the vertebral column, sternum, scapula, and the ribs, lytic lesion with a soft tissue mass of  L1 spinous process, large confluent areas of expansile lytic lesions of both hip bones and sacrum. Diffuse osteopenia is noted as well.

CT one year earlier

CT

Two obvious lytic lesions of the body of T3 and the head and neck of the left 11th rib.

Case Discussion

This case illustrates the progressive course of the multiple myeloma.

Multiple myeloma is a malignant plasma cell tumor affects the red bone marrow, and it is usually encountered in male with the age ranges from 50-80 years. CT  findings usually include punched out lytic bone lesions, diffuse reduction of bone density, lytic lesions with soft tissue components. Sclerotic bone deposits are uncommon findings.



 

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