What is the diagnosis? typical presentation is an elderly male with lower back pain
this would be described by the pathologist as a perinuclear hoff
this one is on peripheral smear
would be described as rouleaux formation
and on x-ray
this would be described as punched out lytic lesion..
make the DX and tell me about the disease
thank you.. as usual 20pts rep points to first person who gets it correct =)