Reason: new dx MM, evaluate disease burden SKULL: Numerous myelomatous deposits throughout the skull.CERVICAL SPINE: Diffuse demineralization and multiple small lucencies of the cervical spine consistent with myelomatous deposits. Degenerative disc disease of the mid to lower cervical spine. THORACIC SPINE: Diffuse demineralization and multiple small lucencies of the thoracic spine consistent with myelomatous deposits. Small anterior osteophytes. LUMBAR SPINE: Degenerative changes of the lumbar spine. Myelomatous deposits in the L1 and S1 vertebrae are better seen on prior MRI spine. Diffuse demineralization and multiple small lucencies of the lumbar spine consistent with myelomatous deposits. RIBS: Healing fracture of the left 7th rib suspicious for myelomatous involvement. Small multiple lucencies of the bilateral scapulae and distal clavicles suspicious for myelomatous deposits. PELVIS: Numerous myelomatous deposits throughout the pelvis.UPPER EXTREMITY: Multiple small myelomatous deposits of the bilateral humerus and radius.LOWER EXTREMITY: Multiple small myelomatous deposits of the bilateral femurs, tibias, and fibulas. Mild osteoarthritis of the bilateral hips. Moderate osteoarthritis of the bilateral knees.
Diffuse myelomatous deposits involving the axial and appendicular skeleton as above.