<prompt>  Ramla, 65 yrs old male presents with low backpain especially at L3, anaemia and fatiguability His investigation profile reveals -Hb 7gm, TLC-9000cmm, DLC -N- 55, L-30, M-10, E-1, -2,Serum proteins-8gm , ratio-2.95.9, ESR-90 and serum creatinine-3.2 mg. Likely diagnosis is -Waldenstroms macroglobulinemiaMultiple myelomaTB spineSecondaries in spine 