55-year-old female with multiple myeloma. Evaluate for source of new jaw numbness. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The osseous structures including the calvarium, occipital condyles, and C1 and C2 vertebral bodies show innumerable permeative lytic lesions consistent with the patient's history of multiple myeloma. There is no discrete soft tissue mass to suggest a plasmacytoma. However, an MRI has already been ordered and should help in the evaluation for a plasmacytoma or other cause for the patient's symptoms. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Innumerable diffuse lytic lesions to the osseous structures are consistent with the patient's history of multiple myeloma. An MRI of the head and neck has been ordered and this will help in evaluation for a plasmacytoma or other cause for the patient's symptoms.