58-year-old male with multiple myeloma. Patient has renal insufficiency. Evaluate myeloma lesions. Evaluation of the proximal femora, bilaterally, is limited due to metallic susceptibility artifact related to orthopedic fixation. Given this limitation, we see no bone marrow signal abnormality. Evaluation of the hip joints is limited but there appears to be at least moderate osteoarthritis of the hips. The sacroiliac joints are unremarkable. The pubic symphysis is unremarkable. There is relatively fatty atrophy of the gluteus medius and minimus musculature on the right, but we see no muscular edema or soft tissue masses. There is a Foley catheter within the decompressed bladder. We see no abnormal enhancement following contrast administration.
Metallic susceptibility artifact resulting from orthopedic fixation of the proximal femora, bilaterally, slightly limits the examination, but we see no discrete myelomatous lesions.