Reason: H/o smoldering MM, re-staging CT/PET needed. History: H/o smoldering MM, re-staging CT/PET needed. There is slight diffuse heterogeneity of the bone marrow signal intensity, but we see no focal bone marrow lesions. We see no abnormal enhancement of the bone marrow or the visualized joints. The musculature of the pelvis is unremarkable. There is a 2.8 cm right adnexal focus of with fluid signal intensity likely representing a physiologic cyst in a patient of this age. Note is made of nabothian cysts.
Slight heterogeneity of the bone marrow signal intensity is nonspecific and could simply represent red marrow or low tumor burden, but we see no focal lesions.