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Multiple myeloma lytic lesions

Multiple myeloma lytic lesions
In this radiograph of the skull in a patient with multiple myeloma the "punched out" lytic lesions are the result of destruction by nodules of plasma cells.
Reproduced with permission from: Rubin E. Pathology. 4th ed. Philadelphia. Lippincott Williams and Wilkins, 2005. Copyright ©2005 Lippincott Williams & Wilkins.
Graphic 78569 Version 4.0