Low back pain, myeloma Lumbosacral spine: Mild degenerative disc disease affects L5-S1 and there is mild loss of height of the superior endplate of L1 which appears similar to the exam dated 11/20/2015. The marrow abnormalities as described on the comparison MRI are not well appreciated on this exam. The remaining vertebral body heights and alignment are preserved.Pelvis: The bones are demineralized. Evaluation of the sacrum is limited secondary to overlying bowel gas. There are deformities of the left superior and inferior pubic rami relating to healed fractures. A large lucency adjacent to the left sacroiliac joint represents an area of known myelomatous involvement. There is otherwise no evidence of an acute fracture or malalignment.
1. Lumbosacral spine: Mild loss of height of the superior endplate of L1 which is unchanged from prior exams. There is otherwise no acute osseous abnormality.2. Pelvis: Healing/healed fractures of the left inferior and superior rami with unchanged appearance of left iliac lesion.