{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:40:02Z","timestamp":1756316402416,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,10,13]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>The authors report a case of a 58-year-old woman, ex-smoker, who was referred to the respiratory clinic with a presumed unresolving airspace shadowing in the right lung. Further evaluation of the shadowing with a CT thorax revealed rib lesions, a pancreatic lesion and multiple liver lesions, making the diagnosis of metastatic pancreatic carcinoma most likely. However, further blood investigations and imaging eventually revealed the cause for the shadowing to be multiple myeloma, since the unresolving shadowing was actually a rib lesion.<\/jats:p>","DOI":"10.1136\/bcr-2018-226412","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226412","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["An unusual presentation of multiple myeloma"],"prefix":"10.1136","volume":"11","author":[{"given":"Emma Louise","family":"Schembri","sequence":"first","affiliation":[{"name":"Department of Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Mifsud","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Gauci","sequence":"additional","affiliation":[{"name":"Respiratory Division, Department of Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Mizzi","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Fsadni","sequence":"additional","affiliation":[{"name":"Respiratory Division, Department of Medicine, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2025082709594555000_11.1.e226412.1","unstructured":"Rajkumar SV , Kyle RA , Connor RF . Clinical features, laboratory manifestations, and diagnosis of multiple myeloma, 2018."},{"key":"2025082709594555000_11.1.e226412.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/864058","article-title":"The genetic architecture of multiple myeloma","volume":"2014","author":"Prideaux","year":"2014","journal-title":"Adv Hematol"},{"key":"2025082709594555000_11.1.e226412.3","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1200\/EDBK_159009","article-title":"Updated diagnostic criteria and staging system for multiple myeloma","volume":"35","author":"Rajkumar","year":"2016","journal-title":"Am Soc Clin Oncol Educ Book"},{"key":"2025082709594555000_11.1.e226412.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8588(05)70416-0"},{"key":"2025082709594555000_11.1.e226412.5","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1182\/asheducation-2005.1.340","article-title":"MGUS and smoldering multiple myeloma: update on pathogenesis, natural history, and management","volume":"1","author":"Rajkumar","year":"2005","journal-title":"Hematology Am Soc Hematol Educ Program"},{"key":"2025082709594555000_11.1.e226412.6","first-page":"ITC6","article-title":"Low back pain","volume":"160","author":"Roger","year":"2014","journal-title":"Annals of Internal Medicine"},{"key":"2025082709594555000_11.1.e226412.7","doi-asserted-by":"publisher","DOI":"10.4065\/78.1.21"},{"key":"2025082709594555000_11.1.e226412.8","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/0970-2113.80331","article-title":"Multiple myeloma with lung plasmacytoma","volume":"28","author":"Prasad","year":"2011","journal-title":"Lung India"},{"key":"2025082709594555000_11.1.e226412.9","first-page":"27","article-title":"[Pulmonary and chest wall involvement in multiple myeloma]","volume":"51","author":"Oymak","year":"2003","journal-title":"Tuberk Toraks"},{"key":"2025082709594555000_11.1.e226412.10","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1978.03630290039015"},{"key":"2025082709594555000_11.1.e226412.11","first-page":"274","article-title":"Lung involvement in multiple myeloma - case study","volume":"40","author":"Ni\u0163u","year":"2014","journal-title":"Curr Health Sci J"},{"key":"2025082709594555000_11.1.e226412.12","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.31.9400"},{"key":"2025082709594555000_11.1.e226412.13","doi-asserted-by":"crossref","first-page":"297","DOI":"10.4103\/0973-1482.59915","article-title":"Pulmonary and nodal multiple myeloma with a pleural effusion mimicking bronchogenic carcinoma","volume":"5","author":"Kushwaha","year":"2009","journal-title":"J Cancer Res Ther"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-226412","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:59:53Z","timestamp":1756313993000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226412"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,11,28]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-226412"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226412","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}