A 67-year-old man with kappa light chain multiple myeloma (MM) had a baseline negative skeletal survey and had undergone dual-tracer positron emission tomography-computed tomography (CT) with fluorine-18 fluorodeoxyglucose and carbon-11 acetate. An initial biochemical response to combined chemotherapy with bortezomib, thalidomide and dexamethasone later plateaued; therefore, he was switched to second-line chemotherapy with ixazomib, lenalidomide and dexamethasone. He then developed progressively deranged liver function
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