41 year old male with a hypergammaglobulinemia. SKULL: No discrete lytic lesions seen.CERVICAL SPINE: There is disc space narrowing at C3-C4, C4-5.THORACIC SPINE: Loss of height of several mid thoracic vertebral bodies which could be pathological and would be better evaluated with MRI. LUMBAR SPINE: Loss of height at the body of L3 which may be pathological.RIBS: Questionable lytic lesions noted in the right 7th ribs, denoted by arrows in the frontal radiograph of the ribs.PELVIS: No discrete lytic lesions seen.UPPER EXTREMITY: No discrete lytic lesions seen.LOWER EXTREMITY: No discrete lytic lesions seen.
1. Questionable lytic lesions in the ribs.2. Compression fractures of the mid thoracic spine and L3 which could be pathological fractures.