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What is This appearance in a 60-year-old man is suggestive of: and explain in detail?
Ans. B Multiple myelomaRadiograph of skull shows multiple punched out uniform lytic lesions - peculiar of Multiple myeloma - described as Rain drop skullQ. Other imaging signs include Salt pepper appearance of vertebraQ on MRI/Vertebra planaQ/Wrinkled vertebraQ. Lesions show cold spots on 99m - Tc - MDP bone scanQ.