Multiple Myeloma Imaging findings
- Lytic lesions
The typical "punched out" lesions in skull are characteristic of multiple myeloma. They are purely osteolytic lesions with little or no osteoblastic activity.
- Endosteal scalloping
- Expansile masses (Plasmacytomas)
- Diffuse demineralization
- Compression and pathological fractures
- Radioisotope scanning is less useful since there is no osteoblastic activity . Osteoblastic activity would imply reaction to pathological fractures.