Findings: Multiple variable-sized lytic lesions are seen in the whole visualized bony skeleton. Mildly enlarged liver with cirrhotic morphology. No obvious focal hepatic lesion is seen. Mild splenomegaly, a few radiopaque gallbladder stones, and a few bilateral small renal cortical cysts are seen. A few lymph nodes, with the largest one measuring 10 mm in short axis are noted at porta hepatis. Surgical staples are seen around the greater curvature of the stomach (past history of sleeve gastrectomy).
Conclusion: Multiple lytic lesions involving the visualized bony skeleton. Prime diagnostic consideration is multiple myeloma; another possibility can be bone metastases.