70-year-old female with smoldering myeloma. Evaluate for bone lesions. BONE MARROW: There is a lobulated focus of increased signal abnormality on fluid sensitive sequences within the intertrochanteric region of the left femur with the imaging characteristics most consistent with an enchondroma. No additional bone marrow signal abnormality is identified.SOFT TISSUES: There is nonspecific subcutaneous edema along the posterior aspect of the lumbar spine. The imaged musculature of the pelvis is normal in appearance.JOINTS: There is a small amount of fluid within the hips without evidence of a large effusion.ADDITIONAL
Findings most consistent with a benign enchondroma within the left femur without evidence of a definite myelomatous deposit affecting the pelvis.