60F with fatigue and decreased alertness. What is the diagnosis?
Multiple Myleoma: Note lytic bone lesions of Skull. (An easier find in Bone window).
Differential DX for lytic bone lesions:
FOGMACHINES:
- Fibrous Dysplasia
- Osteoblastoma
- Giant Cell Tumor
- Metastasis / Myeloma Myeloma
- Aneurysmal Bone Cyst
- Chondroblastoma / Chondromyxoid Fibroma
- Hyperparathyroidism (brown tumors) / Hemangioma
- Infection
- Non-ossifying Fibroma
- Eosinophilic Granuloma / Enchondroma
- Solitary Bone Cyst
References:
Brigham and Womens RAD Teaching Case Database http://brighamrad.harvard.edu/education/online/tcd/tcd.html