PMC6487170_01
CT scan of the abdomen without contrast revealing mesenteric thickening with edema.
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fig1
CT scan of the abdomen and pelvis revealed extensive stranding seen throughout the abdomen within the peritoneal space with edema in the mesentery (Figure 1).
(a) Bone marrow infiltrated by plasma cells. (b) Bone marrow immunohistochemistry revealing CD138 positive cells. (c) Bone marrow immunohistochemistry positive for kappa light chains. (d) Bone marrow immunohistochemistry negative for lambda light chains. Mesenteric invasion (e) by myeloma cells (10x) and (f) by plasma cells (40x).
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fig2
Bone marrow biopsy revealed a 30% involvement by plasma cells (Figures 2(a)-2(f)).
Lytic lesions on the skull.
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fig3
The skeletal survey revealed lytic lesions in the left femur and skull (Figures 3 and 4).
Lytic lesions on the L femur.
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fig4
The skeletal survey revealed lytic lesions in the left femur and skull (Figures 3 and 4).