44-year-old male with a history of multiple myeloma on clinical trial with right-sided sciatic nerve pain. BONE MARROW: The previously described small linear foci of abnormal signal intensity within the medial aspect of the left ilium, thought to represent sites of prior marrow aspiration and biopsy, are less distinct on today's examination. There is slight heterogeneity of the bone marrow of the pelvis, lower lumbar spine, and proximal femurs which may represent residual red marrow. There is no focal signal abnormality or abnormal enhancement to suggest myelomatous deposits.SOFT TISSUES: No significant abnormality noted. JOINTS: The hip joints, pubic symphysis, and sacroiliac joints appear normal.
No discrete myelomatous deposits are identified. No findings to account for the patient's pain.