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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.


A large “punched-out” lytic lesions (red outline) are seen throughout the calvarium.  NOTE: The lesion has a sharp margin, but without any reactive bone (no line at the edge).
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MPX1384_synpic60484: A large “punched-out” lytic lesions (red outline) are seen throughout the calvarium. NOTE: The lesion has a sharp margin, but without any reactive bone (no line at the edge).


Multiple Myeloma

Gould CFG - MedPix (2009)

A large “punched-out” lytic lesions (red outline) are seen throughout the calvarium.  NOTE: The lesion has a sharp margin, but without any reactive bone (no line at the edge).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1384_synpic60484: A large “punched-out” lytic lesions (red outline) are seen throughout the calvarium. NOTE: The lesion has a sharp margin, but without any reactive bone (no line at the edge).

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.