56yrs male，weakness in limbs for 3 months, no bone pain,history of hepatitis B and liver cirrhosis. All aboratory results associated with myeloma is normal. No primary tumor history. Diffuse lytic bone destruction with/without central sclerotic change in spine, pelvis and ribs and sternum. Most of lesions was dark on T1 and T2WI and has a rim of high singal of FS T2. Some lesions show increased uptake on PET-CT. I am confused. Should I consider it as Angiosarcoma or angiomatosis based on CT appearance? But I don’t know how to explain the MRI appearance. Thanks!
Best regards,
Xianjing
1 thought on “please help! diffused lesion on spine and pelvis and ribs and sternum”
pengxianjing
or POEMS？
the eletromyogram show peripheral neuropathy. still waiting for more information from clinician.
发自我的iPhone
—————— Original ——————
Dear Ocaders,
56yrs male，weakness in limbs for 3 months, no bone pain,history of hepatitis B and liver cirrhosis. All aboratory results associated with myeloma is normal. No primary tumor history. Diffuse lytic bone destruction with/without central sclerotic change in spine, pelvis and ribs and sternum. Most of lesions was dark on T1 and T2WI and has a rim of high singal of FS T2. Some lesions show increased uptake on PET-CT. I am confused. Should I consider it as Angiosarcoma or angiomatosis based on CT appearance? But I don’t know how to explain the MRI appearance. Thanks!
the eletromyogram show peripheral neuropathy. still waiting for more information from clinician.
发自我的iPhone
—————— Original ——————
Dear Ocaders,
56yrs male，weakness in limbs for 3 months, no bone pain,history of hepatitis B and liver cirrhosis. All aboratory results associated with myeloma is normal. No primary tumor history. Diffuse lytic bone destruction with/without central sclerotic change in spine, pelvis and ribs and sternum. Most of lesions was dark on T1 and T2WI and has a rim of high singal of FS T2. Some lesions show increased uptake on PET-CT. I am confused. Should I consider it as Angiosarcoma or angiomatosis based on CT appearance? But I don’t know how to explain the MRI appearance. Thanks!
Best regards,
Xianjing
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