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?
Yes and no.: Anything is possible as regards the x-ray findings. The disease does not go into remission. However one bone might break, gradually heal if there is no soft tissue mass at the site of fracture, only to have another bone break later on. ...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
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
It is: benign. All bone islands are sclerotic.Get a more detailed answer ›
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
Prob Not: Bone islands are common. They are usually seen coincidentally on plain xray. They have a typical benign look. If you're concerned get another xray in 3-6 months. ...Read more
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
May last for months: Some biopsy sites can be very painful for several months. ...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?
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
What can be done for a sclerotic lesion in the knee to relive pain or how can this be treated please?
Depends: If the sclerotic lesion is within the bone, it may or may not be the cause of your pain. If it is within the knee joint, it may be an osteochondritic lesion or arthritis, that at times needs surgery. Mris are good tests that can help elicit answers as to the significance of lesions in a joint. To clear this up, I would see an orthopaedic surgeon. ...Read more
Could a lesion within the right medial ilium bone cause pain in my hip just below my back and into the right side of my bottom?
Yes, possibly: Your ilium is the large wing-shaped pelvic bone. The medial portion of your ilium is the part closer to your spine. A lesion in your ilium could cause pain in your back and buttock area, but so could many other things including a compressed nerve (from a bulging disc), a tight piriformis muscle, or inflammation in your sacroiliac joint. It sounds like your pain "refers", making me think nerve. ...Read more
I was told I have a 3.4cm mxed sclerotic lytic lesion on my right iliac crest and to have an MRI done. What does it mean?
More information: Mixed lesion consists of dense bone and areas of bone with reduced density. Mr suggested to better define contents of lesion, surrounding margins, and changes in the soft tissues around bone, and changes in adjacent bone marrow. A lot of times these lesions according to the imaging results eventually have to be biopsied to be specific about diagnosis, and confirm benign or malignant character. ...Read more
I had an X-ray done on my knee today and it showed I had a sclerotic lesion is this some kind of tumour can I have some info plz?
The radiology: Report should provide information on what this lesion represents. Not possible to conjecture here. ...Read more
I always wake up with back pain and stiffness.
I recently had back x-ray 1.3cm L2 sclerotic lesion since 2013. Can this be cause of back pain?
Functionality : The most common causes of back pain are functional problems, like lifting incorrectly or poor desk position. The other is weak core and low back muscles. The best thing to attempt fist is low back strengthening exercises and see if that helps over time. Very unlikely it's the sclerotic lesion. ...Read more
Biopsy pain: Bone biopsies can be very painful. If there is bleeding beneath the fibrous membrane covering the bone (periosteum), the pain can persist for weeks and even for a month or so. Mild heat may be a good way to treat this pain. Hopefully, you biopsy results were good. ...Read more