Reason: 33yr old male with history of MM; post-auto stem cell transplant evaluation History: evaluate SKULL: No lytic lesions are identified.CERVICAL SPINE: No lytic lesions are identified. Mild degenerative disc disease affects the lower cervical spine.THORACIC SPINE: There is a poorly defined lucency within the T8 vertebral body with equivocal vertically oriented striations. Although we cannot exclude multiple myeloma at this level, this could represent a hemangioma and could be further evaluated with MRI, if clinically warranted. This appears identical to the prior examination. Mild to moderate degenerative disc disease affects the thoracic spine.LUMBAR SPINE: There are no focal lytic lesions in the lumbar spine. Focal ossicle along the anterior superior aspect of the L5 vertebral body likely represents a normal variant. Note is made of a transitional lumbosacral morphology.RIBS: There is a mild deformity and expansile remodeling of the lateral aspect of the left fifth rib which could represent a myelomatous deposit and/or a healed fracture, unchanged from the prior examination.PELVIS: There is a poorly defined lucency along the lateral aspect of the left iliac wing, appearing similar to the prior study, which could represent a myelomatous deposit.UPPER EXTREMITY: There are tiny lucencies within the right radial diaphysis, which are nonspecific, but could represent myelomatous deposits, unchanged from the prior study.There is a small ossicle distal to the left ulna which may represent old trauma.LOWER EXTREMITY: No definite myelomatous deposits of the femora or either tibia/fibula.
1. Poorly defined lucency within the T8 vertebral body with questionable thickened vertically oriented trabecula, appearing similar to the prior study. While we cannot exclude multiple myeloma, this could represent a hemangioma and could be further evaluated with MRI if clinically warranted.2. Deformity and expansile remodeling of the lateral aspect of the left fifth rib, which could represent a myelomatous deposit or a healed fracture, appearing similar to the prior study.3. Poorly defined lucency along the lateral aspect of the left iliac wing could represent a myelomatous deposit, appearing similar to the prior study.4. Tiny lucencies within the right radial diaphysis are nonspecific, but could represent myelomatous deposits, unchanged.