<prompt> Answer this question truthfullyWhat are the clinical manifestations of adult T-cell leukemialymphoma, and what is the relationship between this condition and bone lesions and hypercalcemia?  <response>: <reason> Adult T-cell leukemialymphoma may present with lytic punched-out bone lesions and hypercalcemia. These are some of the clinical manifestations of the disease, which is associated with bone lesions and hypercalcemia. 