History of multiple myeloma. Pre-auto SCT evaluation. SKULL: Two views of the skull. No discrete myelomatous lesions.CERVICAL SPINE: Two views of the cervical spine. No discrete myelomatous lesions. Severe degenerative disk disease and anterior osteophyte formation is noted within the mid cervical spine.THORACIC SPINE: One view of the thoracic spine. No discrete myelomatous lesions are identified.LUMBAR SPINE: Two views of the lumber spine. No discrete myelomatous lesions. There is disk space narrowing of L3/L4 and L5/S1. RIBS: Single view of the ribs. No discrete myelomatous lesions.PELVIS: AP view of the pelvis. No discrete myelomatous lesion is identified. A previously seen lesion in the right ilium is not seen on this exam. Multiple surgical clips are noted within the pelvis.UPPER EXTREMITY: Right humerus: Two views are provided. No discrete myelomatous lesions.Left humerus: Two views are provided. Lucencies within the mid-diaphysis may represent myelomatous deposits. Right forearm: One view is provided. No discrete myelomatous lesion.Left forearm: One view provided. No discrete myelomatous lesions.LOWER EXTREMITY: Right femur: Two views are provided. No discrete myelomatous lesion.Left femur: Two views are provided. No discrete myelomatous lesion.Right tibia/fibula: One view is provided. No discrete myelomatous lesion.Left tibia/fibula: One views is provided. No discrete myelomatous lesion.
1. Question lesions in the diaphysis of the left humerus may represent myelomatous deposits. 2. A known lesion within the right ilum is not seen on this exam.3. Degenerative changes as described above. 