multiple myeloma


Doctor's Information

Name : Morteza
Family : Sanei Taheri
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Resident : Khosro Taheri


Patient's Information

Gender : Female
Age : 69


Case Section

Muskuloskeletal System


Clinical Summary





Imaging Procedures and Findings

Multiple lytic lesions in left iliac ala and superior ramus of pubis



Although myeloma most commonly presents as a diffuse permeative process in the skeleton. it can present as either a solitary lesionor as multiple lytic lesions. Like metastases, myeloma should only be considered in a patient older than the age of 40 years, although some radiologists use age 35 for the lower limits of myeloma. Myeloma typically has a diffuse permeative appearance . that can mimic a Ewing sarcoma or primary lymphoma of bone. Because of the age criteria, Ewing sarcoma and myeloma are not in the same differential, however. Myeloma frequently involves the calvaria .Rarely, myeloma can present with multiple sclerotic foci, thus resembling diffuse metastatic disease.


Final Diagnosis

multiple myeloma



Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd


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