The MRI brain is unremarkable except for age-related changes. The cervical spine MRI shows erosive changes involving the C1–C2 (atlantoaxial) region with associated soft tissue thickening and mild epidural extension. The findings are more suggestive of an infective or inflammatory process (including rheumatoid pannus), as mentioned in the report. Although plasmacytoma or multiple myeloma is not the leading possibility based on the MRI, it cannot be completely excluded.
Next Steps
Clinical correlation, inflammatory markers, serum protein electrophoresis with immunofixation, serum free light chains, and further evaluation with contrast imaging and/or biopsy, if indicated, would help establish the diagnosis.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Brain and Spine
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