Fig. 1.
Images of the patient’s relevant test results during the clinical course. (A) Sagittal T1-weighted spine MRI showing diffuse myeloma involvement in the axial skeleton and T11/12 compression fracture with T12 significant retropulsion at the time of initial diagnosis as non-secretory myeloma. (B) Serum protein electrophoresis showing no monoclonal spike when diagnosed as plasma cell leukemia. (C) Serum immunofixation electrophoresis showing no band when diagnosed as plasma cell leukemia. Abbreviation: MRI, magnetic resonance imaging.