Multiple myeloma SKULL: There are no discrete myelomatous lesions.CERVICAL SPINE: The bones are demineralized and there is degenerative disc disease and facet osteoarthritis of the cervical spine but there are no discrete myelomatous lesions.THORACIC SPINE: There is mild anterior wedging of the T12 vertebral body which appears chronic in nature. The bones are demineralized but we see no discrete myelomatous lesions. Mild multilevel degenerative disc disease affects the remaining thoracic spine. LUMBAR SPINE: The bones are demineralized but we see no discrete myelomatous lesions. There are mild chronic appearing compression deformities of L2 and L4 which were evident on the recent MRI. Severe degenerative disc disease affects L5-S1 with bilateral spondylolysis and grade 1 anterolisthesis of L5.RIBS: There are no discrete myelomatous lesions.PELVIS: The bones are demineralized but we see no discrete myelomatous lesions. Mild osteoarthritis affects the hips.UPPER EXTREMITY: The bones are demineralized. There are tiny lucencies within the proximal diaphysis which may represent small myelomatous deposits but this is equivocal. There are no discrete myelomatous lesions within the left humerus or left or right forearm.LOWER EXTREMITY: The bones are demineralized but we see no discrete myelomatous lesions
Diffusely demineralized bones with tiny lucencies in the proximal right humeral diaphysis that may represent myelomatous involvement but this is equivocal. Otherwise there are no discrete myelomatous lesions; additional findings are described above.