PMC6220088_01
FLAIR (A) and DWI (B) sequences of cranial MRI showed diffuse thickening of the skull and increasing signal intensity.
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F1
MRI, we unexpectedly discovered below result: diffuse thickening of the skull and increasing signal intensity. Metastasis? Multiple myeloma? (Figure 1).
Lumbar MRI prompted lumbar vertebra multiple bone changes.
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F2
And lumbar MRI prompted lumbar vertebra, attachment and right iliac bone multiple bone changes, multiple myeloma? Transfer? (Figure 2).
Skull X-ray prompted that the skull and maxillofacial bone (A,B) were found to have diffuse worm-like low-density bone destruction and there was no obvious hardening at the edge. (C) Pelvis X-ray showed small and low-density bone destruction zone in the pelvis and proximal femur.
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F3
Skull and pelvis plain radiographs prompted skull, maxillofacial bone, pelvis, and femoral bone changes, multiple myeloma? Transfer? (Figure 3).
Bone marrow considered multiple myeloma, suggesting a significant increase in the proportion of plasma cells and a small amount of naive plasma cells.
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F4
After perfecting corresponding blood examination, the patient eventually underwent bone marrow aspiration and the results suggested that the patient was suffered from multiple myeloma (Figure 4).
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