igg kappa monoclonal protein presentigg kappa monoclonal protein detectedigg kappa monoclonal immunoglobulinigg lambda monoclonal proteinigg kappa monoclonal band presentmonoclonal igg kappa band detectedigg lambda monoclonal protein detectedigg kappa paraproteinigg kappa spikeigg kappa m proteinigg lambda monoclonal immunoglobulinigg lambda monoclonal band present