Multiple Liver Nodules Mimicking Metastatic Disease as Initial Presentation of Multiple Myeloma

Figure 3

(a) Bone marrow (objective 400x) showing increased cellularity with increased scattered plasma cells intermixed with hematopoietic elements. (b, c) Bone marrow immunohistochemical staining showing CD138 and kappa light surface antigen (200x objective), highlighting scattered clonal plasma cells occupying 30–40% of total cellularity.

(a)

(b)

(c)