oncology radiology

Question 1

what are the classical features of multiple myeloma on imaging?

Answer 1

1. multiple punched out lytic lesions in axial skeletons
2. osteopenia (diffuse)
3. pepperpot skull

Question 2

what constitutes skeletal survey for myeloma

Answer 2

bilateral humerus
bilateral femur
skull + CXR

Question 3

what primary cancers cause sclerotic metastases

Answer 3

breast cancer
prostatic cancer
lymphoma

Question 4

what can cause a single sclerotic vertebral body

Answer 4

infection like osteomyelitis, TB
Paget's disease
haemangioma
lymphoma mets
prostate/breast mets
osteosarcoma (not common in the spine)

Question 5

what type of bony mets are associated with renal carcinoma

Answer 5

lytic mets