Kappa/Lambda Light Chains, Free with Ratio - This test measures the amount of kappa and lambda free light chains (FLCs) in the blood and calculates the kappa to lambda ratio. It is used to assist in the diagnosis of plasma cell disorders, including multiple myeloma, primary amyloidosis, monoclonal gammopathy of unknown significance (MGUS), Waldenström’s macroglobulinemia, and related disorders. It is also used to monitor disease activity and treatment.