Imaging Studies Plain Xray

A skeletal survey is required and should include lateral and anteroposterior views of the skull, cervical, thoracic, and lumbar spines, chest, pelvis, femurs, and humeri. Radiographs of focal lesions are needed when clinically indicated. Myeloma involves most frequently the axial bones, the sites of red marrow. On X-ray, multiple, osteolytic lesions may be present, and are characteristically "punched out." Extensive erosion of the cortex in weight-bearing bones needs to be identified and may require urgent preventive measures to avoid pathologic fracture.

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