Reason: evaluate for metastatic lesions History: pelvic lucencies on xray Note is made of innumerable foci of enhancement with associated decreased signal abnormality T1-weighted images and increased signal abnormality on fluid sensitive sequences affecting all of the bones of the pelvis, as well as multiple lesions within the proximal femora, bilaterally, and the imaged lower lumbar spine, consistent with metastatic disease. The largest lesion is situated within the right sacral wing. There is associated enhancing increased signal abnormality within the adductor musculature on the right likely representing soft tissue extension of disease. Note is made of a fat-containing right inguinal hernia. Mild osteoarthritis affects the hips. There is fatty infiltration of the musculature of the pelvis.
Diffuse osseous metastatic disease involving the imaged bones of the pelvis and proximal appendicular skeleton.