Presentation
Lethargy and whole body ache.
Patient Data
Age: 70 years
Gender: Female
From the case:
Multiple myeloma
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Inumerable well circumscribed punched out lytic lesions of varying sizes seen throughout in the skull and mandible.
From the case:
Multiple myeloma
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Inumerable well circumscribed lytic lesions throughout the pelvis and upper femora with some endosteal scalloping.
Case Discussion
The findings are most consistent with multiple myeloma.
The differential diagnosis includes; metastasis, leukemia and lymphoma.