Presentation
Blunt trauma, the patient fell and injured her occiput and left humerus.
Patient Data
Age: 80 years
Gender: Female
From the case:
Multiple myeloma
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Intact cranium and visualized facial bones.
There are innumerable lytic "punched out" lesions of varying sizes. The mandible is also involved.
The patient is edentulous.
Incidental behind-the-ear hearing aids bilaterally, on the frontal view (subsequently removed ).
From the case:
Multiple myeloma
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Left humeral neck pathological fracture with impaction, and foreshortening. There are multiple lytic lesions within the distal left clavicle, acromion, humerus and proximal radius and ulna.
Case Discussion
A confirmed case of disseminated multiple myeloma with the pathognomonic skull X-ray findings also known as a raindrop skull and a pathological fracture of the left humerus.
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