Male 59 years old. Reason: S1 left sciatica pain .Right lower thoracic pain. Hx T5 plasmacytoma s/p RT. History: S1 left sciatica pain. Right lower thoracic pain. Hx T5 plasmacytoma s/p RT. BONE MARROW: There is extensive red marrow in the proximal femurs, spine, and innominate bones. There is also widespread myelomatous involvement with the largest lesion being an expansile focus in the right ilium abutting the sacroiliac joint (series 4, image 29). There is an additional prominent lesion in the inferior right sacrum. Several small myelomatous lesions are noted within the left femoral head and the lesser trochanter.SOFT TISSUES: No significant abnormality noted. JOINTS: No significant abnormality noted.ADDITIONAL
Widespread myelomatous involvement in the pelvis, sacrum and bilateral femurs as described above.