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Multiple myeloma: Osteopenia, compression fracture, and lytic disease

Multiple myeloma: Osteopenia, compression fracture, and lytic disease
Lateral radiograph (A) of the thoracolumbar spine in a 38-year-old male with multiple myeloma shows decreased bone density, mild compression of L4 and T11 (arrows), and lytic destruction of the L2 posterior elements with a soft tissue mass (arrowhead). Reconstructed sagittal computed tomography (CT) image of the spine (B) shows lytic lesions throughout the bones and destructive lesion with soft tissue mass in the L2 spinous process.
Reproduced with permission from: Frymoyer JW, Wiesel SW, An HS, et al. The Adult and Pediatric Spine. Philadelphia: Lippincott Williams & Wilkins, 2004. Copyright © 2004 Lippincott Williams & Wilkins.
Graphic 83026 Version 4.0

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