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Doctor insights on: Sclerotic Lesion

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Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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What can be done for a sclerotic lesion in the knee to relive pain or how can this be treated please?

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. Mri's 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

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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?

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

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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?

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

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What does this all mean please? Ct scan 1: "bone window images show a mixed lytic and sclerotic lesion in the body of t9"

What does this all mean please? Ct scan 1: "bone window images show a mixed lytic and sclerotic lesion in the body of t9"

Mixed density: 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

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They,"an oral surgeon" has found a sclerotic lesion on my right anterior mandible on CT scan.It has a differential diagnosi.Should I agree to a biopsy?

They,"an oral surgeon" has found a sclerotic lesion on my right anterior mandible on CT scan.It has a differential diagnosi.Should I agree to a biopsy?

There are different: types of sclerotic lesions, some benign and some not. It is tough predict where on the spectrum yours is, without knowing the imaging features and clinical history. Sometimes it is tough even after careful evaluation of images. Additional imaging, such as MRI, may be useful to narrow the differential. Your doctor should discuss the risks, benefits,alternatives so you can make an informed choice ...Read more

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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?

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

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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?

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

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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.

Yes: An inactive lesion on a pet/ct scan can become active if there has occurred a stress reaction/fracture or pathological fracture through the tihnned bone. Also benign cystic lesions can also become malignant and then become active. ...Read more

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What's the difference between sclerotic and hypermetabolic lesions?

What's the difference between sclerotic and hypermetabolic lesions?

Please see answer: Sclerotic means "hardening" or lack of pliability. An example is arteriosclerosis in which the arteries become hardened due to calcification and scarring(fibrosis). A hypermetabolic lesion is a lesion seen on a PET scan with increased metabolism, such as cancer(which takes up more glucose than normal tissue). A form of glucose is labeled with a radioactive "tracer" and this tracer is seen on PET. ...Read more

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Multiple sclerotic lesions in thoracic vertebrae , what determines if they should be biopsied?

Multiple sclerotic lesions in thoracic vertebrae , what determines if they should be biopsied?

Thoracic vertebrae: I presume your doctor has ordered images of the the thoracic vertebrae and discussed the result with a Radiologist who did the study. The possibility of biopsies will be discussed with you. If the doctor and the radiologist both agree about what should or should not be done, please follow their advice. Hope all goes well - please let me know how things went. ...Read more

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I have some lesions on my sclerotic lesions involving the t10, t12, L2 and L4 vertebral bodies, they are 8 mm what does this pet scan mean?

I have some lesions on my sclerotic lesions involving the t10, t12, L2 and L4 vertebral bodies, they are 8 mm what does this pet scan mean?

PET: Do you have any history of cancer? Did the lesions have any FDG uptake on pet? Lesions that size may be below the resolution of pet imaging. It is hard to know without having your history and seeing the images. Fdg is a nonspecific tracer and can be taken up in tumor, infection, and inflammation. ...Read more

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I've recently has a CT scan & it came up with. There's a sclerotic bony lesions @ right L5 pedicle which is defind. What s this mean?

I've recently has a CT scan & it came up with. There's a sclerotic bony lesions @ right L5 pedicle which is defind. What s this mean?

Possibilities: 1. Pars interarticularis defect on the left side with thickening of the right pedicle due to compensatory enlargement 2. Osteoma or osteoblastoma of the right pedicle 3. Healed fracture 4. Fibrous dysplasia/paget's disease 5. Sclerotic metastasis the radiology report should provide an opinion of the most likely cause. ...Read more

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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?

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

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A CT scan showed several scleretic bone lesions in the sacrum .. Could this be normal?

A CT scan showed several scleretic bone lesions in the sacrum .. Could this be normal?

Yes: 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

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