Foley Kieran, Mrcp Patrick Fielding
Radiol Case Rep. 2015 Dec 7;7(4):659. doi: 10.2484/rcr.v7i4.659. eCollection 2012.
A 59-year-old man presented with a 7-month history of increasing left shoulder pain. The initial plain films showed near absence of the left scapula and scattered lucent changes in the left humerus. A CT scan confirmed the presence of widespread lytic bony lesions, with a large soft-tissue mass centered around the left scapula. An isotope bone scan demonstrated marked uptake of MDP in the stomach and nasal mucosa. Further laboratory investigations revealed marked hypercalcemia and the presence of Bence-Jones protein in the urine. An ultrasound-guided biopsy of the soft-tissue mass confirmed the diagnosis of multiple myeloma.
一名59岁男性，有7个月左肩疼痛逐渐加重的病史。最初的X线平片显示左肩胛骨几乎缺失，左肱骨有散在的透亮改变。CT扫描证实存在广泛的溶骨性骨病变，左肩胛骨周围有一个大的软组织肿块。同位素骨扫描显示胃和鼻黏膜有明显的MDP摄取。进一步的实验室检查显示明显的高钙血症，尿液中存在本周蛋白。软组织肿块的超声引导下活检确诊为多发性骨髓瘤。
