Reason: eval for femur lesions / please do in and out of phase imaging History: lesion Limited examination secondary to patient motion artifact and patient's inability to tolerate the examination. Please note that this was the third separate attempt to obtain MR imaging of this patient. Note is made of diffuse nonspecific bone marrow signal abnormality within the imaged bones of the pelvis and femora bilaterally. Differential considerations include red marrow reconversion due to anemia as well as myeloproliferative disorders. No acute fracture is evident. There is mild fatty infiltration of the imaged musculature of both thighs and the pelvis. There is a small amount of fluid within the hips without evidence of a large effusion. There is a focus of low signal intensity within the left superficial femoral vein proximal to the level of the adductor hiatus which may represent thrombus formation, however, this is incompletely characterized on this examination. Please consider a dedicated ultrasound with Doppler interrogation if clinically warranted.
1. Diffuse nonspecific bone marrow signal abnormality affecting the imaged bones of the pelvis and femora as described above. Differential considerations include red marrow reconversion due to anemia as well as myeloproliferative disorders.2. Focus of low signal intensity within the left superficial femoral vein proximal to the level of the adductor hiatus may represent thrombus formation, consistent with the patient's known history of DVT although this is incompletely characterized on this examination. The patient is reported to be currently on Coumadin. This could be further evaluated with a dedicated ultrasound examination with Doppler interrogation if clinically warranted.UTCCS