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Multiple Myeloma

Gould CFG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Multiple Myeloma

History: 61 y.o. woman with a "lump" on left side of head.

Findings: Plain radiograph (skull): Multiple “punched-out” lytic lesions are seen throughout the calvarium. A large lytic lesion at the vertex disrupts both the inner and outer table. T1 Sag: Large expansile mass lesion which is hypointense to bone marrow extending intracranially from the frontal clavarium. T1 Cor: Large expansile mass lesion which is hypointense to bone marrow extending intracranially from the frontal clavarium. T1 Ax +C: Enhancing expansile mass lesion extending intracranially and superficially from the calvarium. T1 Cor +C: Enhancing expansile mass lesion extending intracranially and superficially from the calvarium. T2 Ax: Expansile mass which is isointense to bone marrow extending both intracranially and superficially from the calvarium.

Ddx: • Surgical defect • Lytic metastasis • Hemangioma • Brown Tumor • Hemangiopericytoma • Meningioma (multiple or Meningiomatosis) • Multiple myeloma

Dxhow: Prior bone marrow biopsy & characteristic lytic lesions

Exam: Non-tender superficial mass at the left superior frontal region of the skull. No focal neurological deficits.

No MeSH data available.


Expansile extraaxial mass lesion, arising from the skull, which is isointense to bone marrow extending both intracranially and superficially from the calvarium. Notice on the T2W image (left side) a dark line from the intact dura (shown by a red outline).
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MPX1384_synpic60482: Expansile extraaxial mass lesion, arising from the skull, which is isointense to bone marrow extending both intracranially and superficially from the calvarium. Notice on the T2W image (left side) a dark line from the intact dura (shown by a red outline).


Multiple Myeloma

Gould CFG - MedPix (2009)

Expansile extraaxial mass lesion, arising from the skull, which is isointense to bone marrow extending both intracranially and superficially from the calvarium. Notice on the T2W image (left side) a dark line from the intact dura (shown by a red outline).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1384&req=5

MPX1384_synpic60482: Expansile extraaxial mass lesion, arising from the skull, which is isointense to bone marrow extending both intracranially and superficially from the calvarium. Notice on the T2W image (left side) a dark line from the intact dura (shown by a red outline).

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Multiple Myeloma

History: 61 y.o. woman with a "lump" on left side of head.

Findings: Plain radiograph (skull): Multiple “punched-out” lytic lesions are seen throughout the calvarium. A large lytic lesion at the vertex disrupts both the inner and outer table. T1 Sag: Large expansile mass lesion which is hypointense to bone marrow extending intracranially from the frontal clavarium. T1 Cor: Large expansile mass lesion which is hypointense to bone marrow extending intracranially from the frontal clavarium. T1 Ax +C: Enhancing expansile mass lesion extending intracranially and superficially from the calvarium. T1 Cor +C: Enhancing expansile mass lesion extending intracranially and superficially from the calvarium. T2 Ax: Expansile mass which is isointense to bone marrow extending both intracranially and superficially from the calvarium.

Ddx: • Surgical defect • Lytic metastasis • Hemangioma • Brown Tumor • Hemangiopericytoma • Meningioma (multiple or Meningiomatosis) • Multiple myeloma

Dxhow: Prior bone marrow biopsy & characteristic lytic lesions

Exam: Non-tender superficial mass at the left superior frontal region of the skull. No focal neurological deficits.

No MeSH data available.