Multiple myeloma - right proximal femur

Case contributed by Henry Knipe


Right hip pain.

Patient Data

Age: 35-40 years
Gender: Female

Lytic bone lesion in the femoral neck with a permeative appearance to the cortex. No calcified periosteal reaction. Posteriorly there is a small extraosseous soft tissue mass with cortical erosion. No other bone lesion in the field of view. No inguinal lymphadenopathy. 

Case Discussion

The permeative cortical appearance is concerning and is mainly a differential of malignancy (e.g. multiple myeloma, lymphoma, sarcoma) and infection. After work-up, and despite the young age, this patient was diagnosed with multiple myeloma. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.