Doctor insights on:
Sclerotic Bone Lesion
While the standard appearance of a myeloma bone lesion is lytic with no rim, is it possible to have a thin sclerotic rim rarely? Also, can the disease remit temporarily before discovery them resume?
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
2.2x0.5 sclerotic lesion at the neck of the fibula probably due to a bone island of doubtful clinical significance of the knee. Plz explaine meaning?
Benign: Means noncancerous. A bone island is an area of particularly dense bone with no malignant potential. They are usually found incidentally on x-rays and don't cause symptoms. ...Read more
What does this all mean please? Ct scan 1: "bone window images show a mixed lytic and sclerotic lesion in the body of t9"
This means there is an area in the 9th thoracic body (mid back) which has areas which are lower density (lytic) and higher density (sclerotic) than normal bone at that location.
There are many reasons for this appearance. A thoracic spine MRI of this area, probably with and without contrast, may be helpful. ...Read more
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.
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 it could be innocent if you do not have any clinical signs that related to this area. ...Read more
I am a porstate cancer survivor with no PSA. Recent CTscan indicated a 1.2 cm sclerotic lesion on the L2 vertebrae, noted as bone island. Any concern?
Bone island: Has your urologist seen this CT report? If he gets concerned, then you should, too. ...Read more
Catscan for microhematuria revealed a focus of sclerosis in left superior sacrum representing a bone island or Chondroid lesion and 2nd smaller sclerotic focus in mid left iliac bone presumably of similar etiology. Is this of any concern?
Ortho oncology: Multiple lesions are concerning. You should see an Orthopaedic oncologist for the proper work up which may involve a biopsy. I would not take any chances. ...Read more
Is it "better" to have sclerotic bone lesions, than lytic ones with bone metases? Is there still a greater chance of fracture of the affected bone, whether it is lytic or now sclerotic?
Good question: Excellent question. Unfortunately not an easy answer. But overall, either will do structural damage to the bone and leave it more vulnerable to a fracture or collapse. The lytic ones are quite a bit weaker, however, and can break with little or even no trauma. Both can be very painful and difficult to treat. Also, remember the source: breast, prostate,lung, thyroid, and kidney are more apt to go to bone. ...Read more
Many patients have benign areas of sclerosis, often in the sacrum, pelvis and hips. The personal history of the patient, presence or absence of pain, and stability (if old studies exist to compare).
If there are concerns, further evaluation with bone scan (maybe with spect if lesions are small) or even pet/ct may be appropriate. ...Read more
Can diffuse sclerotic bone metastatic deposits eventually resolve through normal remodeling, assuming cancer stays inactive?
I have a sclerotic bone island in my tibia that is unchanged from last year, I was never told about this. Is this worrisome? MRI report didn't mention
Experiencing back/shoulder pain. X-ray found sclerotic nodule on the humoral head likely a bone island. What does that mean and what can be done?
Nothing need B done.: Benign ; common finding in long bones. ...Read more
What does sclerotic metastases cannot be ruled out. Show I hav 5mm or less throughout the iliac bones.
Sclerotic metastases: Your X-ray or ct scan is showing small focal areas of increased density in your bones. There are benign causes of this(bone islands, osteopoikilosis) but when certain cancers metastasize to bone they can also cause focal areas of increased density in the bone, called sclerotic or osteoblastic mets. Sometimes X-ray cannot determine which it is, and further tests are necessary. ...Read more
Is kidney failure linked to bone marrow cancer and if treated is kidney process reversible. Biopsy report says 17 glo. Nonglobally sclerotic 4 ischemic?
It varies: Most cases of kidney failure caused by one of the blood cancers are reversible if detected early and treated promptly. But your biopsy indicates this may have been ongoing for quite some time. I would have you be patient and be hopeful at least for 4-6 weeks before you will know if this is going to improve or not. ...Read more
Yes: This is a very serious finding and you should be under the care of an oncologist ASAP. Your family physician can make a referral for you. ...Read more
My dr read the wrong MRI results. Mine showed a bone lesion. I let him know of the mistake but he never addressed the lesion. Should I worry?
Be kind: Doctors are human and can make mistakes. How they react to such realization is very important. I would in a very kind way return for a visit and ask for a re-review of your MRI and considerations of its meaning. I am confident it will be a good team building effort. ...Read moreSee 1 more doctor answer
What could be a large ill-defined bone lesion with prominent hypointensity on T1-weighted images and predom hyperintensity on t2? Can it cause ab pain
Radiologist: I would not expect a t2 lesion to cause abdominal distress. In these situations I feel your primary care physician should sit down and review the images with the radiologist who interpreted your study, ask the radiologist what possibilities could explain these findings and then ask him what further imaging studies, biopsy or referral to an appropriate specialist would be most helpful.Further, study ...Read more
While both bone lesion (spurs or osteophytes) and discs can compress nerves and cause symptoms, the bone lesion does not cause the discs to bulge.
If you mean a condition called spondylolisthesis or spondylolysis, then the instability from these conditions can cause the vertebra to move apart in an abnormal way, in which case the disc bulge may result from that. ...Read more