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MRI Changes associated with Bone Marrow Reconversion can Mimic Infiltration with Multiple Myeloma

Sarah C Paterson, Carolyn Grove, Charles Crawley, Mike Scott, Penny Wright, Philip WP Bearcroft and George S Vassiliou

We describe a case of a fit 40-year-old who was referred for investigations to rule out Multiple Myeloma on the basis of an abnormal bone signal on MRI scanning. Haematological investigations including a bone marrow biopsy were normal and upon extended MRI re-scanning, bone changes were identified as those of marrow reconversion and attributed to his intensive exercise regime.