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British Journal of Radiology (2006) 79, e25-e27
© 2006 British Institute of Radiology
doi: 10.1259/bjr/77207966

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Pulmonary and nodal multiple myeloma mimicking lymphoma

P O'Sullivan, FFRRCS and N L Müller, MD, PhD

Department of Radiology, University of British Columbia, Vancouver, BC, Canada


Figure 1
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Figure 1. A 51 year-old man with extramedullary myeloma. (a) Mediastinal windows: CT image shows large bilateral hilar lymph nodes (right arrow) compressing the pulmonary artery and bronchus intermedius. (b) Lung windows: CT image shows bilateral lung nodules and masses (Hounsfield range 65±12) (arrows).

 

Figure 2
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Figure 2. Medium power view(20x) of bronchoscopy biopsy infiltrate, with CD 138 plasma cell marker, exhibiting a strongly positive brown stain. These features are characteristic of multiple myeloma.

 





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