PMC8305756_01
(a) Increased density in medulla of both ulna and radius bones associated with permeative lytic lesions in radius is seen. Cortical irregularity is also evident in some areas. No obvious soft tissue. The wrist seems to be intact. (b) There is a lytic lesion with a wide zone of transition in midshaft of the left humerus bone. Adjacent cortical irregularity and disruption is also noted associated with lamellated periosteal reaction. No obvious soft tissue is evident
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F1
After initial examinations, including hemoglobin: 8, hematocrit: 32.3, white cell count (white blood cell): 8100, lymph: 51.7%, platelet count: 462,000, erythrocyte sedimentation rate: 72 and X-ray [Figure 1a], lymphoma/leukemia was suggested. Five months later, the patient returns with the right forearm pain and left arm (and the previous location of the lesion in the left forearm X-ray showed that the lesion was removed) [Figure 1b].