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. 2020 Feb 19;12(2):486. doi: 10.3390/cancers12020486

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© 2020 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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IgGk smoldering multiple myeloma (SMM) patient with negative whole-body computed tomography. Magnetic resonance imaging of the rachis and pelvis shows two focal bone lesions with increased signal intensity in T2-weighted STIR (short-tau inversion recovery) images. One small lesion (diameter: 5 mm) of the right iliac crest (A) and one bigger lesion (diameter: 14 mm) of the right acetabulum anterior column (B), with corresponding enhancement after Gadolinium injection in T1-weighted images with fat saturation (C,D). No further focal lesion of the rachis was detected in whole-rachis sagittal T1-weighted and T2-weighted STIR sequences (E,F). These two focal bone lesions are considered a myeloma-defining event leading to the recommendation to treat this patient.

IgGk smoldering multiple myeloma (SMM) patient with negative whole-body computed tomography. Magnetic resonance imaging of the rachis and pelvis shows two focal bone lesions with increased signal intensity in T2-weighted STIR (short-tau inversion recovery) images. One small lesion (diameter: 5 mm) of the right iliac crest (A) and one bigger lesion (diameter: 14 mm) of the right acetabulum anterior column (B), with corresponding enhancement after Gadolinium injection in T1-weighted images with fat saturation (C,D). No further focal lesion of the rachis was detected in whole-rachis sagittal T1-weighted and T2-weighted STIR sequences (E,F). These two focal bone lesions are considered a myeloma-defining event leading to the recommendation to treat this patient.