82-year-old male with monoclonal gammopathy, multiple myeloma not having achieved remission. Evaluate for multiple myeloma versus MGUS. Evaluate for myeloma lesions. BONE MARROW: There is edema type signal in the left ilium and left sacral ala likely related to recent bone marrow biopsy. Diffuse heterogeneous bone marrow signal intensity of the pelvis, specifically the iliac bones and sacrum likely representing normal red marrow however a miliary form of multiple myeloma is not excluded. There are no discrete measurable myelomatous lesions present.SOFT TISSUES: No significant abnormality noted. JOINTS: No significant abnormality noted.ADDITIONAL
1. Diffusely heterogeneous bone marrow signal intensity of the pelvis likely representing normal red marrow however a miliary form of multiple myeloma is not entirely excluded. There are no discrete measurable myelomatous lesions.2. Edema type signal in the left ilium and left sacral ala likely related to recent bone marrow biopsy. 