FINDINGS: This exam was compared to the MRI dated Sept 16, 2010
As shown previously, there is diffuse heterogeneous bone marrow signal involving the pelvis and the left femur, including the ischium, ilium, and sacrum, consistent with a metastatic neoplastic process with bone metastasis. The mottled appearance of the bone, including the head of the left femur, is worse compared to the previous exam, with deformity of the femoral head, consistent with an associated compression fracture. The bone marrow edema suggests an acute to subacute process. The post-contrast images show heterogeneous enhancement of the head of the left femur and remainder of the visualized bone marrow consistent with an active process.
There is no other fracture. There is no joint effusion. There is no evidence of periosteal reaction or subcutaneous or deep soft tissue edema. There is no evidence of muscle strain or tear, tendinopathy, or bursitis.
The visualized portion of the pelvis is unremarkable, without evidence of lymphadenopathy or an abnormal pelvic mass. There is no evidence of inguinal hernia. There is no free fluid.
IMPRESSION: Diffuse metastatic bone marrow disease with a mild compression fracture of the head of the femur, at the weight-bearing surface, with adjacent sclerotic changes. The abnormality is not present on the exam dated September 16, 2010.
1 comment:
Although I do not completely understand the medical language and description in this and your subsequent post, I understand enough to say that I will continue to pray and trust that God will grant you healing and strength and hope. I believe in miracles. I believe God has a plan for your life, and it is a good plan, according to Jeremiah 29:11. May God's peace be your peace tonight. In Jesus' precious name I pray...Amen!
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