film left shoulder of a 52 years old man with multiple myeloma (mm), demonstrated punch out bone lesions of humerus and scapular

adult anteroposterior apview background bone bonelesion care chest clavicle closeup demonstrate demonstrated diagnosis disease emergency exam examining film final healthcare hematology hospital human humerus ill illness image investigation left lesions lung lytic man medicine multiple myeloma organ osteolytic pathognomonic patient pattern physician plain punchout ribs scapular shoulder show sick sickness skeleton spines sputum surgery test trachea xray