Evidence map›Paper›PMID 42046645›Full record

ArticleCureus2026

A Case of Lytic Bone Lesions and Unexpected Laboratory Findings: Navigating Diagnostic Uncertainty.

Om Jhaveri, John Wahidy, James Byrd

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Om JhaveriMedicine, Alabama College of Osteopathic Medicine, Dothan, USA.
John WahidyResearch, Alabama College of Osteopathic Medicine, Dothan, USA.
James ByrdInternal Medicine, Mobile Infirmary Medical Center, Mobile, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of a 66-year-old male patient who presented with progressive generalized weakness and was found to have diffuse lytic lesions involving the calvarium and entire spine. Diffuse lytic bone lesions identified on imaging prompted an extensive evaluation for malignant and non-malignant etiologies. In cases with atypical laboratory findings and negative bone marrow biopsy, diagnosis and management can be complicated. Imaging was initially highly suspicious of malignancy, but further investigation revealed abnormal serum free light chain levels. Additionally, a negative serum and urine protein electrophoresis and bone biopsy revealed no evidence of malignancy or plasma cell dyscrasia. This unique case highlights the diagnostic difficulty and importance of interpretation and lateral surveillance in patients with suspected plasma cell dyscrasia.

Indexed as

art of diagnosisdiagnosis of multiple myelomakappa light chainlambda light chainlight-chain multiple myelomamonoclonal gammopathymr imagingmr imaging multiple myelomamultiple myeloma

Identifiers

PMID42046645
PMCPMC13110905

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.