Multiple myeloma and CML BONE MARROW: Subtle areas of intermediate to low signal intensity are identified within the left posterior ilium on series 501 images 34 and 35 and these demonstrate slight hyperintensity on corresponding T2 fat saturated sequences. Additional areas are identified within the right iliac wing (series 501 image 42) and the right proximal femur (series 501 image 9)SOFT TISSUES: No significant abnormality noted. JOINTS: There is mild osteoarthritis of the hips with a small amount of fluid identified within each hip joint but no sizable effusion.ADDITIONAL
Subtle areas of intermediate to low signal intensity within the pelvis particularly in the left posterior ilium suspicious for early myelomatous involvement.