Elsevier

Radiology Case Reports

Volume 16, Issue 3, March 2021, Pages 723-727
Radiology Case Reports

Case Report
Multiple myeloma with intractable lumbar pain and diagnostic challenge with MRI: A case report

https://doi.org/10.1016/j.radcr.2020.11.030Get rights and content
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Abstract

We present a 63-year-old male patient with intractable bone pain and rapidly progressive osteoporosis, who was diagnosed with multiple myeloma (MM) by CT despite normal magnetic resonance imaging (MRI) findings. The gold standard diagnostic modality for MM is MRI as it can be used to sensitively evaluate bone marrow, however, the current case highlights that MRI is not always accurate in evaluating MM. CT in combination with MRI could be used for secondary osteoporosis with intractable bone pain in order to determine the diagnosis, treatment, and prognosis.

Keywords

Multiple myeloma
MRI
CT
Diagnostic challenge

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Consent Statement: Patient consent statement confirming that written, informed consent for publication of their case was obtained from the patient.

Funding: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Ministry of Science and ICT, MSIT) (NRF-2020R1C1C1006623) and Basic Science Research Program through the Ministry of Education of the Republic of Korea (NRF-2018R1D1A1B07041308).

Competing Interests: The authors have declared that no competing interests exist.

Acknowledgments: None.

© 2021 Published by Elsevier Inc. on behalf of University of Washington.