A9 year old female with history of multiple myeloma. Presenting with two months history of bilateral neck pain. No vertebral tendinous or neurological findings. Exaggerated lordosis of cervical spine is noted. Extensive lytic lesions of the skull base in particular the clivus is noted. These changes are consistent with patient's diagnosis of multiple myeloma.Multiple lytic lesions involving the entire vertebral body of C2 including the dens, C3, C4 is also noted. There is no evidence of collapse of any of the vertebral bodies and no evidence of malalignment is detected. No definitive evidence of abnormality of the posterior elements is detected. Reformatted images with wide window settings demonstrates no definitive evidence of a soft tissue abnormality within the spinal canal. The caliber of the cord appears unremarkable and subarachnoid space is visualized. If clinical concern persists further evaluation with an MRI would be most helpful. No definitive evidence of bony neural frontal compromise or central spinal stenosis is present.
Extensive lytic changes of skull base and upper cervical spine consistent with multiple myeloma as detailed above.