Multiple myeloma

Case contributed by Dr Hani Makky Al Salam

Patient Data

Age: 50 years
Gender: Female
X-ray

Multiple punched out lytic lesions are best seen in the skull vault. The entire skeleton is osteopenic, with multiple spine compression fractures. Vascath (central venous catheter) in situ and bilateral pulmonary opacities and pleural effusions.

MRI

Multiple pathological fractures with diffusely low signal intensity marrow in T1- and T2-weighted sequences. 

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