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Spectrum of Imaging Findings in Abdominal Extraosseous Myeloma

Michael Patlas1,2, Korosh Khalili1,3, Marcus J. Dill-Macky1 and Stephanie R. Wilson1

1 Department of Medical Imaging, University Health Network and Mount Sinai Hospital, 200 Elizabeth St., Toronto, ON M5G 2C4, Canada.
2 Present address: Department of Radiology, Hamilton General Hospital, Hamilton, ON L8L 2X2, Canada.
3 Department of Medical Imaging, Princess Margaret Hospital, University Health Network, 3-964, 610 University Ave., Toronto, ON M5G 2M9, Canada.



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  		Fig. 1A. —48-year-old man with multiorgan involvement by multiple myeloma. Sonogram shows hypoechoic liver lesion adjacent to middle hepatic vein.

 


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  		Fig. 1B. —48-year-old man with multiorgan involvement by multiple myeloma. Sonogram shows heterogeneous solid tumor (arrowheads) in perirenal space displacing right kidney (asterisk).

 


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  		Fig. 1C. —48-year-old man with multiorgan involvement by multiple myeloma. Unenhanced CT scan, which corresponds to B, shows bilateral solid masses (arrowheads) in perirenal space with mass effect on kidneys (asterisks).

 


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  		Fig. 2. —60-year-old man with multiple myeloma. Unenhanced CT scan depicts left-sided perirenal and perihilar masses (arrowheads) that are causing mild pelvocaliectasis. Multiple metastatic tumor nodules (arrow) are visible in retroperitoneum.

 


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  		Fig. 3. —40-year-old man with multiple myeloma. Scrotal sonogram shows multiple bilateral hypoechoic myelomatous masses in testes.

 


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  		Fig. 4. —41-year-old man with multiple myeloma. Enhanced CT scan shows large single myelomatous mass in head of pancreas causing mild dilatation of pancreatic duct. Pancreas was only site of disease.

 


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  		Fig. 5. —48-year-old man with multiple myeloma. Enhanced CT scan shows diffuse myelomatous infiltration of stomach causing gastric wall thickening (arrowheads). Spontaneous perforation of stomach (asterisk) was confirmed at surgery.

 


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  		Fig. 6A. —52-year-old man with peritoneal extraosseous multiple myeloma. CT scan shows multiple enhancing soft-tissue nodules (arrowheads) in peritoneal spaces outlined by ascites. Note studding on gallbladder surface and also retroperitoneal tumor deposit by left kidney.

 


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  		Fig. 6B. —52-year-old man with peritoneal extraosseous multiple myeloma. CT scan shows tumor deposits at omentum and right paracolic gutter (arrowheads) and at subcutaneous tissues of anterior abdominal wall (arrow).

 

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