There is diffuse heterogeneous increased T2 and intermediate decreased T1 bone marrow signal. Considering the history of breast cancer, this is consistent with diffuse infiltration of metastatic bone marrow disease. There is no cortical defect. The different diagnosis includes advanced osteopenia versus osteoporosis; however, clinical correlation is advised.
The right and left hip joints are normal. There is no evidence of osteoarthritis or joint effusion. There are small geographic-shaped areas of heterogeneous decreased T1/T2 signal involving the subchondral bones of the femoral heads consistent with avascular necrosis/bone infarct, without evidence of collapse or fracture. The subcutaneous and deep soft tissues are normal, without evidence of muscle strain or tear. There is no evidence of bursitis.
PELVIS:
Small foci of subchondral avascular necrosis involving the hips, without associated subchondral fracture or collapse of the heads of the femurs.
No comments:
Post a Comment