PMC2637836_01
Radiographs of the skull (a, b), spine (c), and pelvis (d) showing multiple variably sized lytic lesions affecting all visualized bones.
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F1
Radiographs of the skull (Fig 1a and 1b), spine (Fig 1c) and pelvis (Fig 1d) revealed multiple variable sized lytic lesions affecting all visualized bones.
Magnetic resonance imaging (MRI) T1W (a) image shows a hypointense mass lesion involving the right iliac bone extending into the sacrum (arrow). T2W MRI image (b) shows that the lesion in right iliac bone is hyperintense (double arrows).
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F2
T1 weighted MRI images of pelvis (Fig 2a) revealed a hypointense mass lesion involving the right iliac bone extending into the sacrum (arrow). T2 weighted MRI images (Fig 2b) revealed that the lesion in right iliac bone was hyperintense (double arrows).
Chest radiograph showing an ill-defined mass in the left mid and lower zones (star), alongwith multiple patches of consolidation in the right lung. Multiple lytic bony lesions can also be seen (arrows). Computed tomography (CT) images (b, c) show the lung masses in detail (solid arrows). Also note the lytic lesions in the sternum and the vertebra (double arrows).
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F3
Plain chest radiograph (Fig 3a) of the patient revealed an ill-defined mass in the left mid and lower zones, along with multiple patches of consolidation in the right lung. CT scan of chest (Fig 3b and 3c) showed the lung masses (solid arrows) and lytic lesions were observed in the sternum and the vertebra (double arrows).
Section examined from bone marrow biopsy showing a metastatic adenocarcinoma.
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F4
A bone marrow biopsy was taken from iliac crest and this showed infiltration of marrow spaces by tumor cells as shown in figure 4.