Doctor insights on:
Multiple Lytic Bone Lesions
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 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
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 moreSee 1 more doctor answer
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
I have Stage4 Breast Cancer. PET showed Multiple
subcentimeter lesions and focal fatty marrow
within the left sacral ala. Areas for concern?
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
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
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
Radiology/neurology. Ct scan shows bone, MRI shows soft tissue, so therefore can't indentify disease of skull bones. Intercrainial means misdiagnosis?
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 moreSee 1 more doctor answer
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
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
Incidental ct scan finding of a "well defined 12 mm sclerotic lesion" on left iliac bone. Does this require follow-up or are these generally benign?
Reassurance : This is could be innocent if you do not have any clinical signs that related to this area. ...Read more
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?
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
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