Female 70 years old Reason: smoldering myeloma History: lesions on xray, evaluate for lytic bone disease Right humerus: Somewhat mottled appearance of the bone marrow, but no discrete lesions to suggest myelomatous deposits.Left humerus: There are 2 small foci of T1 hypointense signal in the proximal/mid diaphysis, suspicious for myelomatous deposits (images 12 and 13, series 4). There is corresponding T2 heterogeneous bone marrow signal. Fluid is noted in the subdeltoid bursa.
Lesions in the left humerus suspicious for myelomatous deposits. No discrete lesions in the right humerus.