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Figure 1: (a) Edema and hyperpigmentation of bilateral feet; (b and c) Magnetic resonance imaging (MRI) of the brain diffusion weighted images showing diffusion restriction in the left periventricular and posterior parietal regions; (d and e) MR angiography demonstrating attenuation of supraclinoid, petrous, and cavernous portion of bilateral internal carotid arteries; (f) Bone marrow aspirate showing a small cluster of five plasma cells, including a multinucleate form. May–Grunwald–Giemsa, magnification ×100

Figure 1: (a) Edema and hyperpigmentation of bilateral feet; (b and c) Magnetic resonance imaging (MRI) of the brain diffusion weighted images showing diffusion restriction in the left periventricular and posterior parietal regions; (d and e) MR angiography demonstrating attenuation of supraclinoid, petrous, and cavernous portion of bilateral internal carotid arteries; (f) Bone marrow aspirate showing a small cluster of five plasma cells, including a multinucleate form. May–Grunwald–Giemsa, magnification ×100