Question

what is the most common initial radiographic feature of multiple myeloma? please select your answer... a generalized osteopenia b punched out lesions c raindrop skull

Explanation:

Generalized osteopenia is often the earliest and most common initial radiographic finding in multiple myeloma, as the disease causes widespread bone loss before more focal lesions like punched-out lesions or raindrop skull (a specific skull manifestation of punched-out lesions) develop.

Answer:

A. generalized osteopenia