Multiple myeloma, pelvic pain The examination is limited by patient motion artifact.Although we see no dominant focal myelomatous lesion, there is diffuse intermediate signal intensity of the marrow on both T1 and T2 sequences. This finding is nonspecific but could reflect myelomatous involvement. There is similar signal abnormality affecting the proximal femora and lower lumbar spine with a compression deformity of L4 noted. For further details regarding the spine, please refer to the accompanying lumbar MRI exam report. There is no evidence of fracture within the pelvis or proximal femora. The hip joints, sacroiliac joints, and pubic symphysis appear normal. The visualized soft tissues of the pelvis are unremarkable as well.
Although there is no dominant focal bone marrow lesion evident, there is diffuse intermediate signal intensity of the visualized marrow which is nonspecific in nature but could reflect myelomatous involvement. Other findings are described above.