Newly diagnosed MGUS vs myeloma; please evaluate for myeloma lesions. There is mild diffuse intermediate signal intensity in the lower lumbar spine, bones of the pelvis, and proximal femora, suggestive of residual red marrow. We see no convincing focal lesion to confirm myeloma. Low signal intensity focus adjacent to the lateral aspect of the right greater trochanter is noted, likely representing calcium hydroxyapatite deposition with adjacent soft tissue inflammation. There is also mild peritrochanteric inflammation on the left. These findings are of questionable current clinical significance.Mild osteoarthritis affects both hips.
Residual red marrow without focal lesion to confirm myeloma. Other findings as above.