Hypervascular nodular hepatic involvement in multiple myeloma: A case report
1Department of Radiology, Dankook University Hospital, Cheonan, Chungnam, Korea.
Journal of Clinical Imaging Science
|October 9, 2023
Summary
Multiple myeloma, a rare cause of liver disease, can present as multiple hypervascular hepatic nodules. This case highlights the importance of considering multiple myeloma in the differential diagnosis for such liver findings.
Area of Science:
- Hepatology
- Oncology
- Radiology
Background:
- Multiple myeloma (MM) is a plasma cell malignancy that rarely involves the liver.
- Hepatic infiltration in MM typically presents as diffuse or focal lesions, but hypervascular nodules are uncommon.
Observation:
- A 62-year-old woman presented with multiple hepatic nodules.
- Imaging revealed lesions with arterial enhancement and delayed washout, characteristic of hypervascular tumors.
Findings:
- The patient was diagnosed with multiple myeloma involving the liver.
- The hepatic nodules represented MM infiltration, a rare presentation.
Implications:
- This case underscores the importance of including multiple myeloma in the differential diagnosis for patients with multiple hypervascular hepatic nodules.
- Radiologists and clinicians should be aware of this rare manifestation of MM for timely diagnosis and management.


