 we report a case of 18-year - old boy who presented with vomiting , backache , and fever for 1-month , diagnosed to have anaplastic large cell lymphoma of urinary bladder with hypercalcemia and metastatic calcification in multiple viscera . 
 his computed tomography scan was suggestive of soft tissue lesion in the urinary bladder and multiple lytic skeletal lesions . 
 bone scan showed unusual visceral uptake in lungs , liver , spleen , and myocardium in addition to osseous lesions . 
 the clinical laboratory test revealed functional impairment of visceral organs . 
 the patient died 3 months later . 
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