PMC5106535_01
MRI of the pelvis. Axial T1 (TR 566/TE 13) -weighted MR image of the pelvis. Thickened synovium erodes the left femoral head. The iliopsoas muscle is thickened (arrow).
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A bone survey obtained at that time showed large lucencies around the hips and shoulders (Figure 1, Figure 2) that were suspected to be due to myeloma.
Right shoulder radiograph. Frontal view of the right shoulder demonstrates large lucencies in the humeral head and glenoid (arrow), subluxation of the glenohumeral joint and small calcifications in the soft tissues (thin arrow).
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A bone survey obtained at that time showed large lucencies around the hips and shoulders (Figure 1, Figure 2) that were suspected to be due to myeloma.
Right hip radiograph. Frontal view of the right hip shows a large lucency in the femoral neck and upper intertrochanteric area (arrow).
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There was also hypermetabolic activity at the wrists, in the low lumbar spine, in the cervical spine, and at the knees (Fig 3).
A. Maximum intensity projection. B Axial image through the shoulders. C Axial image through the hips. There is increased metabolic activity in the thickened soft tissues surrounding both hips and shoulders with associated osseous erosions. Increased activity is also present at both knees, wrists, and in the low lumbar spine.
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CT through the shoulders revealed bilateral erosions of the glenoid fossa and humeral head as well as numerous calcifications in lumpy soft tissue masses (Figure 4, Figure 5).
Noncontrast CT obtained in conjunction with PET/CT imaging at the level of the hips, Fig 4a filmed on bone window and Fig 4b filmed on soft tissue window. Bilateral osseous erosions involve both femoral heads and the left acetabulum.
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CT through the shoulders revealed bilateral erosions of the glenoid fossa and humeral head as well as numerous calcifications in lumpy soft tissue masses (Figure 4, Figure 5).