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Doctor insights on: Multiple Lytic Bone Lesions

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3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?

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

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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Do Standard99m Tc bone scans with tracer ever reveal lytic lesions of Myeloma, or only ever osteoblastic lesions, and fracture? Having workup for MM.

Bone scan, not helpf: Bone lesions of myeloma do not show up on a Bone scan. So it is not a useful test when looking for bone lesions which can be seen more easily with MRI scan. Alternatively a CT scan can help in a localised spot and PET scan can also be useful in certain select situations. ...Read more

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What are the causes of blastic and lytic lesions on bone?

What are the causes of blastic and lytic lesions on bone?

Bone mets: Some bone mets stimulate an abnormal bone formation response. Osteoblasts are the cells that form bone. If this response predominates, the met looks dense(sclerotic) relative to adjacent bone, and are called osteoblastic. If instead the mets cause a bone destructive response, they are called osteolytic. Some cancers can cause both lytic or blastic lesions. ...Read more

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Can lesion on liver be multiple sclerosis?

Can lesion on liver be multiple sclerosis?

Not at all: MS is an inflammatory disease of the brain, spinal cord, and eye, and does not directly affect internal organs. The liver lesion needs diagnosis, and is NOT caused by MS ...Read more

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Bone cysts versus bone spurs?

Bone  cysts versus bone spurs?

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

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Are bone marrow transplants painful?

Are bone marrow transplants painful?

Side effects: There are many effects which can be unpleasant like nausea, vomiting, diarrhea amd mouth sores. Depending on how the transplant is done the mouth sores can be severe and painful. There can be abdominal pain or bone pain in some patients. ...Read more

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Incidentally noted small well-demarcated oval lucencies in the scaphoid and capitate bones which could represent bone cysts or other benign eti?

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 more

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Cervical cancer percentage of causing bone lesions and adrenal gland lesions?

Cervical cancer percentage of causing bone lesions and adrenal gland lesions?

Rare but occurs: Carcinoma of cervix , spread by lymphatic , to adjacent nodes and viscera , rarely spread to bones less than 2% of time. ...Read more

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Radiology/neurology. Ct scan shows bone, MRI shows soft tissue, so therefore can't indentify disease of skull bones. Intercrainial means misdiagnosis?

Radiology/neurology. Ct scan shows bone, MRI shows soft tissue, so therefore can't indentify disease of skull bones. Intercrainial means misdiagnosis?

Both are complex: CT and MRI can identify bones and soft tissues of the skull and anatomy of the brain but in different types of detail. Intracranial means inside the skull. ...Read more

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MRI showed moderate supratenatorial white matter disease suspicious of demyelinating process. Multiple nodular foci periventricular Could you explain?

MRI showed moderate supratenatorial white matter disease suspicious of demyelinating process. Multiple nodular foci periventricular Could you explain?

Concern for MS, But: Phyllis, talk to the doctor who ordered the MRI, since he/she can interpret the MRI in the context of the symptoms that brought you to the clinic. In some cases, periventricular white matter lesions are the result of migraines, old head trauma, neuron migration issues, or MS. It is hard to know from just a description of the MRI which is the cause. Good Luck and Stay Healthy! ...Read more

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Are bone marrow biopsies painful to have done?

It depends: If done by an experienced health care worker(doctor/nurse) the bone marrow biopsy can be tolerable(mild to moderate amount of pain). They use local anesthesia which controls 90% of the pain. So i would not worry too much about it and get it done. Just make sure that the person doing the biopsy has done more than 20 biopsies before and does them fairly frequently(>1 per month). ...Read more

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What are hypodense subcapsular metastic liver lesions ?

What are hypodense subcapsular metastic liver lesions ?

Liver lesions: This a serious problem. If this is regarding you then get to your physician asap. If this is regarding someone else get them to thier doctor. This means that a primary cancer somewhere else in the body has spread to the liver. Please seek attention. ...Read more

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CAT scan came back saying multiple scattered soft tissue density foci in upper cervical subcutaneous calcification of pineal gland. What's meaning?

CAT scan came back saying multiple scattered soft tissue density foci in upper cervical subcutaneous calcification of pineal gland.  What's meaning?

Please repost: You left something out. However: You didn't just pass by a CT scan facility & decide to go in & make an impulse purchase. Your doctor ordered the CT for a reason. You haven't bothered to state the reason. The CT isn't the patient, you are. The ordering MD who knows you is ethically obligated to interpret the CT for you in the context of you as a patient, or if they can't, to find someone who can. ...Read more

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What does prominent anterior osteophytes at c6-7..scattered sclerotic changes.c5-6 multiple chronic appearing vertebral deformities & sclerotic changes are noted including biconcave surfaces of c3 & c4?

What does prominent  anterior osteophytes at c6-7..scattered sclerotic changes.c5-6 multiple chronic appearing vertebral deformities & sclerotic changes are noted including biconcave surfaces of c3 & c4?

An osteophyte: Is a bone spur. Anterior is front. You have arthritic changes of the spine essentially. One needs to take into account clinical picture as well. What symptoms do you have? ...Read more

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Clivus bone tumor fiber-osseous what are the symptoms ?

Clivus bone tumor fiber-osseous what are the symptoms
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Clivus bone tumor: “Fibro-osseous”? Do you mean fibrous dysplasia? These tumors are very rare. Symptoms: headache (sometimes severe) near base of back of the skull. Pain made worse by moving the head/neck. Possible visual problems because of weakness of a nerve (cranial nerve #6) that controls eye movement. The eye will cross inward toward the nose. Anyone with these problems should see his/her doctor. ...Read more