Lesions in T3, T6, 7 T12 suspicious for myeloma. BMBX shows less than 10% plasma cells, visible lesions on skull. There is an enhancing lesion in the left posterior skull that measures up to 5 mm. Previously demonstrated additional punctate posterior skull lesions are no longer conspicuous. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered nonspecific cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. A subcentimeter lesion in the left inferior parietal bone may represent a deposit of multiple myeloma. Previously demonstrated additional punctate posterior skull lesions are no longer conspicuous. 2. No evidence of intracranial tumor. 