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Multiple myeloma. Elderly patient with multiple myeloma. Plain film (a) demonstrates extensive osteopenia and multiple punched-out lytic lesions involving the entire pelvis. Sagittal T1 (b) of the lumbar spine, coronal T1 (c), and coronal STIR (d) demonstrate innumerable T1 hypointense and T2 hyperintense lesions (arrowheads) in the medullary cavity of the entire visualized skeleton.
