The findings are compatible with multiple myeloma.

Disseminated multiple myeloma has two common radiological appearances :

• numerous, well circumscribed lytic bone lesions : more common
  • punched out lucencies e.g. pepperpot skull or raindrop skull
  • endosteal scalloping
• generalized osteopaenia : less common 
  • often associated with vertebral compression fractures / vertebra plana.