case_images: PMC7457772_01
case_images: Lateral skull X-ray shows multiple well-circumscribed lytic punched-out round lesions (blue arrows).
case_images: IMCRJ-13-353-g0001.jpg
case_images: PMC7457772_01_IMCRJ-13-353-g0001.jpg
case_images: f0001
case_images: His skull X-ray showed multiple clear punched-out lesions in the skull bones (Figure 1).
case_images: Axial CT abdomen bone window shows lytic lesions in the vertebral body (upper blue arrow) and right transverse process (lower blue arrow).
case_images: IMCRJ-13-353-g0002.jpg
case_images: PMC7457772_01_IMCRJ-13-353-g0002.jpg
case_images: f0002
case_images: An abdominal computed tomography (CT) scan showed no obvious abdominal malignancy but detected osteolytic bone lesions on the thoracolumbar spine and pelvis (Figures 2, 3 and 4).
case_images: Axial CT pelvis bone window shows lytic lesion in the right ischial bone (blue arrow).
case_images: IMCRJ-13-353-g0003.jpg
case_images: PMC7457772_01_IMCRJ-13-353-g0003.jpg
case_images: f0003
case_images: An abdominal computed tomography (CT) scan showed no obvious abdominal malignancy but detected osteolytic bone lesions on the thoracolumbar spine and pelvis (Figures 2, 3 and 4).
case_images: Sagittal CT abdomen and pelvis bone windows shows two lytic lesions in T12 (upper blue arrow) and L3 (lower blue arrow) vertebra.
case_images: IMCRJ-13-353-g0004.jpg
case_images: PMC7457772_01_IMCRJ-13-353-g0004.jpg
case_images: f0004
case_images: An abdominal computed tomography (CT) scan showed no obvious abdominal malignancy but detected osteolytic bone lesions on the thoracolumbar spine and pelvis (Figures 2, 3 and 4).