62-year-old female. Multiple myeloma patient on clinical drug trial with increasing hip pain, specifically left sided lately. Evaluate for degenerative changes versus myeloma lesions. No focal myelomatous lesions are identified. Chronic appearing severe compression deformity of L4, grossly unchanged. Mild degenerative disk disease of L3-4 to L5-S1. Mild bilateral hip osteoarthritis. Patchy red marrow in the bilateral proximal femoral diaphyses and sacrum.
No evidence of a focal myelomatous lesion. Mild bilateral hip osteoarthritis. Grossly unchanged L4 compression deformity.