Plasma cell dyscrasia presenting as retro-orbital mass - lessons to learn?

A patient with myeloma presenting as retro orbital mass and renal failure is described. Myeloma patients can present to any physician with any specialty. Renal impairment is quite common in myeloma. Early recognition of this complication is important in preserving the kidneys. The patient was treated with Bortezomib and Dexamethasone and had good initial response to treatment