Smoldering multiple myeloma. Evaluate for osseous lesion in left femur. There is no intramedullary lesion to suggest multiple myeloma. Mild heterogeneity of the marrow at the femoral diaphysis is within normal limits. A subcentimeter focus of intermediate signal intensity within the intertrochanteric region enhances slightly, but is too small to characterize and is unchanged from prior. The musculature of the femur is within normal limits. Subtle enhancement along the greater trochanter suggests mild inflammation, likely of no clinical significance.
No definite interval change in the previously identified suspected trochanter myelomatous lesion.