Multiple myeloma Note that evaluation of the right femur is limited by susceptibility artifact from the intramedullary rod.There are scattered areas of abnormal marrow signal within the pelvis reflecting myelomatous deposits. The largest focus is noted within the right sacral ala along involving the S1 neural foramen, measuring approximately 3 x 3.5 cm in the greatest transaxial dimensions.. Additional examples are seen within the left posterior ilium and right anterior iliac wing. Following contrast administration, these lesions demonstrate enhancement.The uterus demonstrates the presence of multiple fibroids.
Multiple areas of marrow replacement and enhancement within the pelvis consistent with multiple myeloma. The largest focus involves the right sacrum.