igg kappa monoclonal protein presentgammapatia monoclonal igm kappaigm kappa monoclonal gammopathyigm kappa monoclonal band presentpic monoclonal igm kappaigm kappaigm kappa monoclonal protein detectedmonoclonal gammopathy igm kappa typeigg kappa monoclonal immunoglobulinigg kappa monoclonal bandpic monoclonal type igm kappamonoclonal igg kappa band detected