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Fig. 4C. —41-year-old patient with multiple myeloma of C1/C2, status
post posterior spinal fusion, chemotherapy, and bone marrow transplant 9
months ago. Axial CT image through upper cervical spine obtained for neck pain
8 months later shows lytic lesions at C1/C2 at site of original tumor
(arrow). These findings were thought to represent recurrent tumor.
Note posterior spinal fusion hardware.
