case_images: PMC3716026_01
case_images: A lateral skull radiograph (a) shows numerous lytic lesions classic for myeloma. More subtle, at the craniocervical junction (b), there is a destructive lesion of C2 resulting in compression (open arrow), abnormal flexion (small arrow), and translation, and potential instability.
case_images: JCHIMP-3-21419-g001.jpg
case_images: PMC3716026_01_JCHIMP-3-21419-g001.jpg
case_images: F0001
case_images: The axial skeleton, the spine, skull, pelvis, and ribs are more often affected than the limbs (Figs. 1-3).
case_images: A lateral thoracic spine radiograph shows multiple severe vertebral body compression fractures (small arrows), vertebra plana, also characteristic of multiple myeloma. At T11 and T12 (open arrows), mild vertebral sclerosis is a result of treatment and healing.
case_images: JCHIMP-3-21419-g002.jpg
case_images: PMC3716026_01_JCHIMP-3-21419-g002.jpg
case_images: F0002
case_images: The axial skeleton, the spine, skull, pelvis, and ribs are more often affected than the limbs (Figs. 1-3).
case_images: A frontal view of the shoulder shows a chronic pathological fracture of the surgical neck of the humerus (small arrow) across a large lytic lesion with a 'moth-eaten' appearance down the humeral shaft, and involving the clavicle and ribs. Note the missing 5th rib, destroyed by a plasmacytoma (open arrows).
case_images: JCHIMP-3-21419-g003.jpg
case_images: PMC3716026_01_JCHIMP-3-21419-g003.jpg
case_images: F0003
case_images: The axial skeleton, the spine, skull, pelvis, and ribs are more often affected than the limbs (Figs. 1-3).