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POEMS syndrome chest x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2]

Overview

An x-ray may be helpful in the diagnosis of POEMS syndrome. Findings on an x-ray suggestive of POEMS syndrome include osteolytic bone lesions, pleural effusion, increased cardiac silhouette (secondary to pericardial effusion), and ascites.

X Ray

An x-ray may be helpful in the diagnosis of POEMS syndrome. Findings on an x-ray suggestive of POEMS syndrome include:

Images

Chest x-ray of pleural effusion. Source: Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16075
X-ray of an osteolytic bone lesion involving the humerus. Source: Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 19359
Chest x-ray demonstrating increased cardiac silhouette. Source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 7142
Cardiomegaly (increased cardiac silhouette).
Image courtesy of C. Michael Gibson MS. MD


References

  1. ↑ Clark MS, Howe BM, Glazebrook KN, Mauermann ML, Broski SM (June 2017). “Osteolytic-variant POEMS syndrome: an uncommon presentation of “osteosclerotic” myeloma”. Skeletal Radiol. 46 (6): 817–823. doi:10.1007/s00256-017-2607-8. PMID 28343327.
  2. ↑ Cui RT, Yu SY, Huang XS, Zhang JT, Tian CL, Dou LP, Pu CQ (June 2015). “Incidence and risk factors of pleural effusions in patients with POEMS syndrome”. Hematol Oncol. 33 (2): 80–4. doi:10.1002/hon.2135. PMID 24519469.
  3. ↑ Cui RT, Yu SY, Huang XS, Zhang JT, Li F, Pu CQ (December 2013). “The characteristics of ascites in patients with POEMS syndrome”. Ann. Hematol. 92 (12): 1661–4. doi:10.1007/s00277-013-1829-7. PMID 23811954.

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