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‹ Wed · 10 Jun 2026
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Absent Bone Marrow Edema on MRI in a Patient with Acute Vertebral Compression Fractures: Implications for Vertebral Augmentation

MRI imaging can mislead in multiple myeloma spine fractures, reminding clinicians to consider this diagnostic pitfall.

A 49-year-old woman with multiple myeloma developed acute vertebral compression fractures that appeared chronic on MRI due to absent bone marrow edema; recognition of this MM-specific imaging pitfall and successful PVA is reported. This case highlights a diagnostic limitation of MRI in MM-related vertebral fractures.

What the study was

Study design
Single case report
Population
Single MM patient with vertebral compression fractures and absent BME on MRI
Sample size
1
Category
Diagnostics
Maturity
Exploratory
Journal
Pain Medicine Case Reports

Why it surfaced

Single case report. Score capped per rubric rules (single case report cap = 4; scored 2 given limited novelty beyond existing awareness of MM imaging challenges).

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