Presentation
"Chesty"
Patient Data
No acute cardiopulmonary compromise. Multiple lytic bone lesions in keeping with known multiple myeloma.
Lateral skull: multiple lytic lesions.
Cervical, thoracic and lumbar spine: multiple lytic lesions.
Chest: multiple lytic lesions in the ribs, scapulae, clavicles, proximal humeri
Pelvis: multiple lytic lesions
Humeri and Femora: multiple lytic lesions
Conclusion:
Appearances are suggestive of multiple myeloma.
MR performed for suspected cord compression
Heterogeneous marrow signal compatible with the known multiple myeloma. There is a compression fracture involving the inferior cortical endplate of L2. The cord terminates at T12/L1. Cord signal is normal throughout.
No cord or cauda equina compression.
L5/S1 disc bulge contacts the right L5 nerve root.
Case Discussion
Typical features of multiple myeloma with concordant laboratory findings in this case.