EURORAD ESR

Case 14383

Atypical multiple myeloma

Author(s)
Dr Jigar Patel, Dr Mrugesh Doctor, Dr Shikha Khandelwal, Dr Drushi Patel

Gujarat MRI Centre Pvt. Ltd-
Post Graduate institute of Radiology & Imaging,
Navrangpura 380009
Ahmedabad,
Gujarat, India.
Email:drjigarpatel9765@gmail.com
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    T1W axial

    T1W axial image showing isointense lesion in parasellar region.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 2
    T2W axial

    T2W axial image showing hypointense lesion in parasellar region.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 3
    T2W sagittal

    T2W sagittal image showing hypointense lesion in parasellar region.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 4
    T1W post-contrast axial

    T1W post-contrast axial image showing homogeneous enhancement of the lesion.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 5
    T1W post-contrast coronal

    T1W post-contrast coronal image showing homogeneous enhancement of the lesion.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 6
    T1W post-contrast coronal

    T1W post-contrast coronal image showing enhancing soft tissue along the rami of the mandible.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 7
    FDG PET image

    FDG PET image showing hypermetabolic lesions involving multiple bones (MAX SUV: 18)

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: PET; Procedure: Molecular imaging; Special Focus: Neoplasia;
     
     
  • Figure 8
    CT guided tru-cut biopsy

    CT scan guided tru-cut biopsy from left para-vertebral soft tissue in dorsal region.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
T1W axial image showing isointense lesion in parasellar region.
 
T2W axial image showing hypointense lesion in parasellar region.
 
T2W sagittal image showing hypointense lesion in parasellar region.
 
T1W post-contrast axial image showing homogeneous enhancement of the lesion.
 
T1W post-contrast coronal image showing homogeneous enhancement of the lesion.
 
T1W post-contrast coronal image showing enhancing soft tissue along the rami of the mandible.
 
FDG PET image showing hypermetabolic lesions involving multiple bones (MAX SUV: 18)
 
CT scan guided tru-cut biopsy from left para-vertebral soft tissue in dorsal region.
 
 
 
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