Background: Acute tubulointerstitial nephritis (ATIN) is a very rare paraneoplastic manifestation in patients with multiple myeloma (MM). It is an uncommon pattern of renal disease in such patients. Case presentation: We report a case of an 82-year-old male who was admitted with acute kidney injury. https://www.spidertattooz.com/Airbus-CC-330-Husky-Aircraft-Government-of-Canada-330002-White-with-Blue-and-Red-Stripes-copyright-Macs-Series-1-400-Die/