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Doctor insights on: Bone Density Test Results Interpretation

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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Mri shows three lobulations in bone above knee. Bone scan says everything ok. How could mri and bone scan show two different results?

Mri shows three lobulations in bone above knee.  Bone scan says everything ok.  How could mri and bone scan show two different results?

"Lobulations": is not medical diagnosis or useful information with regard to your MRI results. Please consult with your doctor regarding how your imaging results may (or may not) be relevant to your knee problems. ...Read more

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What does a "low normal" bone density test mean?

What does a "low normal" bone density test mean?

Very little!: When the world health organization arbitrarily set a level of bone mineral density (bmd) below which a person was said "to have" osteoporosis, the opportunity was immediately seized by interested parties to declare a range better than that density but adjacent to it as "osteopenia". Above that is called "normal" bmd is a continuum! normal is normal. Low normal means normal. ...Read more

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Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?

Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol  30 with dexona 1 mg, biopsy needed  ?

Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read more

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Tb skin test negative, quentform TB test negative, bone marrow biopsy results indicative of TB (reacts to ziehl niehlssen), PCR negative. How come?

Tb skin test negative, quentform TB test negative, bone marrow biopsy results indicative of TB (reacts to ziehl niehlssen), PCR negative. How come?

No...actually: The zn stain is a broad stain for acid fast bacilli of which mycobacterium tuberculosis is one of many. The specific tests like quantiferon or the pcr test are against you having tb. The culture is the "gold standard" but you will need to wait for it. It might turn out be a cousin of TB and that too will grow out of culture. Stay on TB meds until they are certain of the AFB positive organism. ...Read more

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How to interpret RBC morph scan results?

RBC appearance: The microscopic appearance of your RBCs can be helpful in establishing a diagnosis. ...Read more

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Is a heel bone density scan trustworthy?

Is a heel bone density scan trustworthy?

No...: No...Heel bone density scan is not as accurate or precise as other methods of bone densitometry. Spine, hip, and radius bone density measurements are better. ...Read more

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Blood test results showing low mchc?

Blood test results showing low mchc?

Low iron: If the MCHC level is below 28%, this is considered too low. The MCHC level can be too low because of blood loss over time, or too little iron in the body. ...Read more

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How does the bone density test define osteoporosis?

How does the bone density test define osteoporosis?

Only partly: The dexa scan gives the bone mineral density at the hips, spine and forearm. These scores can predict osteoporosis: 't-score' of less than -2.5 is considered osteoporosis. However, many people suffer osteoporosis fractures despite having better bone densities. So, we also use other factors: age, ethnicity, size, family history, prior fractures, smoking, alcohol, other conditions to predict risks. ...Read more

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Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?

Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication  against pancreatic cancer?

Yes: Pancreatic cancer is most uncommon at your age to begin with (it is not a common cancer in general). Normal blood tests and ct scan should reassure you that pancreatic cancer is not there. ...Read more

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What does satisfactory blood test result mean? Full blood count, bone profile and kidney

What does satisfactory blood test result mean? Full blood count, bone profile and kidney

Lab results: Lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Depending on the test, a normal value may rule out disease but other normal results do not necessarily mean lack of disease. It would be useful to have the actual results. ...Read more

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Ct scan (Nov 2015) showed bilateral avascular necrosis of the hips without collapse. Recent lab results show wbc count is 14,000.. Multiple myeloma?

Ct scan (Nov 2015) showed bilateral avascular necrosis of the hips without collapse. Recent lab results show wbc count is 14,000.. Multiple myeloma?

Seek medical check u: You need to tell us about your complete blood report like your Hemoglobin, Platelets and differential count(What type of white cells make up your WBC count of 14,000(% of different cells )). The hip joint changes you report are unlikely to be caused by Myeloma. A good internist can help you to sort out the cause of your high WBC count. So go see one soon. ...Read more

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X ray of broken bone showed hole in bone biopsy done and was neg for bone cancer. Recent blood test showed low white blood count. Reason for concern?

X ray of broken bone showed hole in bone biopsy done and was neg for bone cancer. Recent blood test showed low white blood count. Reason for concern?

Evaluation warranted: Depending on how low the white count, it would be wise to continue to be followed by a primary health care provider and/or hematologist. It will likely return to normal, but it should be followed. ...Read more

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Mom's pth-peptide level is 35& her calcium level is 13 Chest xray normal., CT scan done, no results yet. Bone scan tomorrow. Where is the cancer?

Mom's pth-peptide level is 35& her calcium level is 13 Chest xray normal., CT scan done, no results yet. Bone scan tomorrow. Where is the cancer?

May have no CA: 15 to 65 pq / mL. is the range of parathormone in the serum. The only question is the slightly elevated bone calcium which might be associated with bone mets. This should show up on the scan. When parathormone is elevated it is usually derived from the parathyroid glands which might be hyperplastic or have a tumor. Occassionally an elevated parathormone level is seen in myeloma. ...Read more

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Bone marrow Biopsy showed 2 genetic abnormality. Another bone marrow done in same center showed no abnormalities. No treatment done. Any explanation?

Bone marrow Biopsy showed 2 genetic abnormality. Another bone marrow done in same center showed no abnormalities. No treatment done. Any explanation?

Cytogenetic analysis: A bit more complicated. Not enough information to assess.Need more details on the exact type of genetic abnormality. Would be helpful to be able to view the entire genetic evaluation, complete blood count and history. Suggest that you seek a full one on one consultation. Good luck. ...Read more

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What is a ultrasonic bone density test?

A DXA alternative: The dual energy x-ray analysis (dexa or dxa) is considered the "gold standard" for measuring the mineral content of your bone. A similar measurement can be done with ct-scans or ultrasound, where the impedance of the sound wave can be correlated with bone mineral. None of these tests provide much definitive information about fracture risks. Ask you doctor for a frax clinical analysis first! ...Read more

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How accurate is the heel bone density test?

How accurate is the heel bone density test?

Depends: The diagnosis of osteopenia and osteoporosis are generally made from a dxa machine that tests the spine and hip. The heel test is done with a portable device that is used to screen for bone loss. Although accurate statistically, it is not used clinically unless there is not a device that will measure the spine and hip. The heel should not be used to follow the rate of change in the bone density. ...Read more

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Dr. Robert Lang
1,161 doctors shared insights

Bone Density (Definition)

Bone density (or bone mineral density) is a medical term normally referring to the amount of mineral matter per square centimeter of bones. Bone density (or bmd) is used in clinical medicine as an indirect indicator of ...Read more