Doctor insights on:
Lucent Bone Lesion
Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .
Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read moreSee 2 more doctor answers
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
3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?
Depends: Bone marrow expansion throughout the skeleton typically signals either that the marrow is i appropriately expanding into these compartment such as in a myeloproliferative disorder or the present regions of marrow production are insufficient to keep up with current body needs. Regardless of the cause this is best answered by hands on evaluation, testing and management by an hematologist. ...Read more
Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more
Maybe not: Areas if increased uptake can be caused by a number of different things. Fractures can do this as well as arthritis (if near a joint), infection and yes cancer can do this also...But other bone lesions that are not considered malignant can also do this. This is why it is so important to see your doctor, who can put this information together with your history, symptoms and results from other tests. ...Read moreSee 3 more doctor answers
MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?
Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read moreSee 1 more doctor answer
Sessile sharply marginated homogeneous anechoic cystic lesion adjacent to outer table of skull , what it means?
Cyst : Sounds like a simple cyst and of no importance ...Read more
MRI: Extensive bone marrow edema of navicular with subtle subchondral linear focus of hypointense signal at proximal articular surface. Doc said AVN?
Avn: Yes that's what it appears. Follow up with the orthopedic surgeon or podiatrist ...Read more
Chest xray what does small bone island 3rd left post rib, osseous density adjacent left 1st ant rib, low dens areas in clavicles scalpula humeri mean?
Follow up...: It is difficult to know the significance of the report you describe without more history. A bone island is a small benign sclerotic focus in the bone, but you also mention low density areas in the clavicles, scapula and humeri. Be sure to follow up with your referring physician about the significance of these findings. I hope this helps. ...Read more
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
Incidentally noted small well-demarcated oval lucencies in the scaphoid and capitate bones which could represent bone cysts or other benign eti?
Varies: There can be multiple potential causes. Basically on your X-ray there are small oval areas in the scaphoid and capitate bones where there is little or no bone. This can be from arthritis, gout, simple cysts or other causes. I would discuss directly with your doctor. ...Read moreSee 1 more doctor answer
Ct Rpt- curvilinear soft tissue density with irregular peripheral margins in the subcutaneous fat in thigh measures 16.4 x 2.3 x 10.1cm - Sarcoma?
Possible liposarcoma: Large tumor masses in thigh usually represent sarcoma. In subcutaneous fat probably liposarcoma but dx must be established by complete removal and examination of lesion. A large liposarcoma may be composed of benign lipoma in 70-80% of lesion and 20-30 % sites of sarcoma. An at random bx in the OR can frequently yield a dx of a benign lesion when complete examination reveals the malignancy/ ...Read more
Is this alarming
No acute focal lung infiltrate
Stable appearing tiny ovoid hyperdensity which may relate to calcified granuloma?
Stable is good. : Technically it would be good for me to know when the last xray was (the one to which they're comparing the current one). Bad things will pretty universally grow over time, so if this hypersensitive has not grown in months, or years, then it's very likely benign. ...Read more
Pigmented lesion ..Back...Biopsy sheets dermoepidermal junction nests pigmented bland looking round cells &nuclei.......Whats diagnosis plz?
Sounds benign: This description sounds like a benign mole or what a pathologist would call a junctional nevus. There should be a final diagnosis on the report in addition to the description. Doesn't sound worrisome or atypical to me. ...Read more
Sorry to hear: This. A scapula is a very odd bone for a primary tumor, and also odd for something traveled to that bone, but it does no get bone spurs. A "mass" needs to be biopsied. However, it is more likely to be from some other place: lung, breast (w), prostate (m)...My last scapular met came from a kidney primary. ...Read more
Fna, 2 nodules left lobe. Abundant benign appearing epithelial cells, hemosiderin-laden macrophages& colloid present. Scattered microfollicles noted. Path says can't entirely rule out fillocular lesio?
Can a bone lesion that was apparently inactive on pet/ct become active later? It's a lytic lesion of the clavicle with very thin sclerotic rim.
"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally
do u think cast will heel up?
Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...Read moreSee 2 more doctor answers
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