Presentation
The patient presented with headaches for months. A history of breast cancer guided the oncologist to order a skull x-ray to rule out any lytic lesions.
Patient Data
Age: 70 years
Gender: Female
From the case:
Multiple myeloma
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Multiple, well-defined punched-out lytic lesions of various sizes are scattered throughout the skull (raindrop skull).
Case Discussion
the patient has normocytic normochromic anemia and the peripheral blood smear shows Rouleaux formation
serum free light chain assay shows increased free kappa chain
multiple myeloma confirmed by bone marrow biopsy
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