Raindrop skull

Case contributed by Matt Skalski
Diagnosis probable

Presentation

Ill patient with history of HIV and multiple infections.

Patient Data

Age: 45 years
Gender: Male
ct

There are innumerable well-defined lytic lesions throughout the calvarium, involving the diploic space as well as the inner and outer tables  of the skull.

Case Discussion

This patient passed away shortly after these images were obtained, therefore multiple myeloma was never confirmed; however, the raindrop skull appearance seen in these images is classic.

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