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Diagram of different types of bone tumors that can occur around the knee on XRay -
- punched out lesions ... blastic or mixed lytic-blastic ... Paget disease - lytic ... • Aggressive lesion ... - lytic metastasis
Diagram of different types of bone tumors that can occur around the knee on XRay
Age <
other aggressive lesion ... - punched out lesions ... blastic or mixed lytic-blastic ... Paget disease - lytic ... - lytic metastasis
Fibula Giant Cell Tumor - Ankle X-Ray 
Expansile lytic lesion in the epiphysis of the fibula
X-Ray Expansile lytic ... lesion in the epiphysis
The skull demonstrates the typical “punched out” lesions characteristic of multiple myeloma. 

#Skull
#MM
#Hematology
#MultipleMyeloma
#XRay
#PunchedOut
#Lytic
“punched out” lesions ... #PunchedOut #Lytic
Bone Lesion on X-Ray - Differential Diagnosis Algorithm 
Exostotic
 • Osteochondroma
Asymptomatic &/or Non-Active Bone Scam
 •
Bone Lesion on X-Ray ... Fibroma Multiple Lytic ... Lesions • Multiple
Raindrop skull seen in myeloma.
- pattern of lytic/punched-out lesions resembling raindrops hitting a surface &splashing.
Sometimes also
- pattern of lytic ... /punched-out lesions
Paget’s Disease: Pathogenesis and Clinical Findings

 • Incr serum CTx - marker of bone resorption
 •
resorption • Lytic ... bone lesions (mostly
Eosinophilic Granuloma (aka Langerhans Cell Histiocytosis) on Pediatric Skull X-Ray
Solitary, punched out lytic lesion, no sclerotic
Solitary, punched out lytic ... lesion, no sclerotic
Raindrop Skull- ...A skeletal survey showed diffuse osteopenia, a pubic bone fracture, and numerous radiolucent lesions
numerous radiolucent lesions ... — a pattern of lytic ... or punched-out lesions
Raindrop Skull in Multiple Myeloma
Diagnosis: Calavarial Multiple Myeloma
The raindrop appearance is caused by multiple lytic lesion
caused by multiple lytic ... lesion with well