Multiple myeloma SKULL: No significant abnormality noted.CERVICAL SPINE: Moderate osteoarthritic changes of the mid cervical spine extending from C3 through C7 with relative sparing of C4-5. Other than straightening, no distinct superimposed osseous abnormality to support myeloma. Soft tissues unremarkableTHORACIC SPINE: No significant abnormality noted. LUMBAR SPINE: Mild osteoarthritic changes without suspicious myelomatous lesionsRIBS: No significant abnormality noted.PELVIS: No significant abnormality noted.UPPER EXTREMITY: No significant abnormality noted.LOWER EXTREMITY: No suspicious findings to support myelomatous involvement. Mild cortical thickening and deformity of both left and right tibia suggesting congenital abnormality and/or possibly old stress reaction. Specifically this finding does not support MGUS and comparison with prior outside imaging if available would be helpful. (The prior MRI does not extend cranial enough to evaluate this mid diaphyseal region).
Scattered mild to moderate osteoarthritic changes largely involving the cervical spine, no superimposed additional findings to support myelomatous lesions.