Female, 51 years old. Reason: re-evaluate osseous lesions seen on prior study, hx osseous sarcoid History: re-evaluate osseous lesions seen on prior study, hx osseous sarcoid Again seen are multiple round lesions within the sacrum, innominate bones, and proximal femora, many of which appear slightly smaller and less confluent on the current study than on the prior study. For example, a right intertrochanteric lesion measured 2.3 cm in craniocaudal dimension on the prior study, and now measures 2 cm. These lesions are of similar intensity to skeletal muscle on T1WI, hyperintense on T2WI, and enhance following contrast administration.Osteonecrosis of the femoral heads appears similar to the prior study, with osteoarthritis affecting both hips, left greater than right. Degenerative disc disease at L4-5 appears similar to the prior study.Lymphadenopathy seen on the prior study is again noted, although many of the lymph nodes appear slightly smaller in size. A uterine fibroid and nabothian cysts appear similar to the prior study accounting for slight positional differences.
1.Findings compatible with sarcoidosis as described above with lesions appearing smaller and less confluent on the current study than on the prior study.2.Other findings as described above.